老年主动脉夹层患者神经系统表现的临床分析  

Clinical symptoms of the nervous system in elderly aortic dissection patients

作　　者：曹贵方[1] 毕齐[1] 曹莉[1] 

机构地区：[1]首都医科大学附属北京安贞医院神经内科,100029

出　　处：《中华老年心脑血管病杂志》2013年第5期503-504,共2页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的总结老年主动脉夹层(AD)患者神经系统症状的特点。方法选择189例老年AD患者,其中A型105例,B型84例,对其临床资料进行回顾性分析。结果 189例患者中,54例(28.57%)出现神经系统症状,最常见症状为头晕16例,占8.47%,其次晕厥14例,占7.41%,昏迷7例,占3.70%,一侧下肢感觉障碍6例,占3.17%,截瘫3例,占1.59%。12例诊断为脑梗死。与B型AD比较,A型AD患者更易出现神经系统症状(40.95%vs 13.10%,P<0.01),晕厥的发生显著高于B型患者(13.33%vs 0%,P<0.01)。结论神经系统症状常见于老年AD患者,尤其是A型患者,可能与脑缺血有关。Objective To summary the nervous system symptoms in elderly aortic dlissection （AD） patients. Methods Clinical data （including symptoms,signs and imaging） about 189 AD patients with their age ≥ 60 years were retrospectively analyzed. Results Of the 189 AD patients, 54 （28.57%） presented with the nervous system symptoms. Dizziness was the most common symp- tom which developed in 16 （8.47%） ,followed by syncope which developed in 14 （7.41%） ,coma which developed in 7 （3.70%）, single lower limb sensory disturbance which developed in 6 （3.17%）. Three patients were diagnosed with paraplegia and 12 patients were diagnosed with is- chemic stroke. The nervous system symptoms were easier to occur in patients with type A than in those with type 13 （P〈0.01）. The incidence of syncope was significantly higher than that of type B （P〈0. 01）. Conlusion The nervous system symptoms are common in elderly patients with AD,especially in those with type A,which may be related with cerebral ischemia.

关 键 词：主动脉疾病 神经病学表现 头晕 躯体感觉障碍 晕厥 

分 类 号：R543.1[医药卫生—心血管疾病]