锁骨下动脉盗血综合征五例临床分析  

Five cases of subclavian steal syndrome with amyotrophy

作　　者：李秀文[1] 员伟强 

机构地区：[1]衡水市第五人民医院神经内科,河北053000

出　　处：《脑与神经疾病杂志》2011年第6期441-444,共4页Journal of Brain and Nervous Diseases

摘　　要：目的探讨锁骨下动脉盗血综合征(SSS)的临床特点,提高临床医师对本病的认识,降低误诊率。方法分析2008年至2010年9月我科收治的锁骨下动脉盗血综合征患者5例,就其临床表现、经颅多普勒超声(TCD)、彩色多普勒血流显像(CDFI)、数字减影血管造影(DSA)结果以及治疗预后进行分析。结果 TCD为锁骨下动脉盗血的及早诊断和治疗提供了依据,DSA是确诊锁骨下动脉盗血的金标准。结论锁骨下动脉盗血临床表现多样,易误诊漏诊,确诊依靠DSA。DSA结合临床表现,对诊断SSS和选择治疗方案有重要价值。Objective To investigate the clinical characteristics of SSS ,improve the diagnosis of this disease and reduce misdiagnosis. Methods Medical records, including clinical presentations, transcranial doppler, color doppler ultrasonography, digital subtraction angiography, therapy and prognosis, of 5 cases of Subclavian Steal Syndrome patients were admitted in our hospital form 2008 to september 2010, were retrospectively reviewed in comparison with the literatures. Results TCD could help to find the problem, it turned out to be evidence in diagnosis and treatment of early SSS. We needed DSA to make the final diagnosis of SSS. Conclusions As clinical manifestations of SSS were variety. DSA combined with clinical data are of great value for the diagnosis and therapy of pitutary apoplexy.

关 键 词：锁骨下动脉盗血综合征 临床分析 DSA 

分 类 号：R743.9[医药卫生—神经病学与精神病学]