38例基底动脉尖综合征的临床观察与探讨  

Top of the Basilar Syndrome: an Observations and Discussion of 38 Cases

作　　者：闫俊杰[1] 佟晓燕[1] 耿志伟[1] 刘杰[1] 王昱超[1] 

机构地区：[1]黑龙江省大庆油田总医院神经科,黑龙江大庆163001

出　　处：《黑龙江医学》2011年第8期592-593,共2页Heilongjiang Medical Journal

摘　　要：目的分析基底动脉尖综合征的临床特点及有效治理措施。方法观察38例基底动脉尖综合征的临床资料并进行归纳总结。结果 38例基底动脉尖综合征中,临床表现以眩晕和意识障碍为主,持续昏迷者预后差,部分病例症状不典型导致病情延误。结论基底动脉尖综合征临床表现复杂多样,MRI双侧丘脑呈蝶形梗死是特征性表现,加强宣传教育有利于减少病情延误。Objective To analyze the clinical features and the effective control measures of top of the basilar syndrome（TOBS）.Methods We observed and summarized the clinical data of 38 patients with TOBS.Results In 38 cases of TOBS patients,the commonest clinical manifestations were dizziness and disturbance of consciousness.The patients with prolonged coma indicated the poor prognosis.Atypical symptoms in some cases lead to delayed treatment.Conclusion The clinical manifestations of TOBS are complex and diverse.MRI showed bilateral butterfly infarction is characteristic performance.Strengthening publicity and education help reduce the disease delays.

关 键 词：基底动脉尖综合征 症状与体征 观察与探讨 

分 类 号：R743[医药卫生—神经病学与精神病学]