6例锁骨下动脉盗血综合征临床资料分析  

Analysis of clinical data in 6 patients with subclavian steal syndrome

作　　者：田仰华[1] 杨卫民[1] 王长青[1] 汪凯[1] 

机构地区：[1]安徽医科大学第一附属医院神经内科,合肥230022

出　　处：《安徽医学》2013年第3期235-237,共3页Anhui Medical Journal

基　　金：国家自然科学基金项目(项目编号:81100806)

摘　　要：目的探讨锁骨下盗血综合征(SSS)的临床特点和血管内介入治疗疗效。方法回顾分析6例SSS的临床资料。结果6例患者因头晕症状就诊5例,双上肢脉压差均大于20 mmHg;6例患者于狭窄同侧的锁骨上窝均可闻及收缩期血管杂音;3例患者接受血管内介入治疗后症状改善明显。结论双上肢血压测量及血管杂音听诊有利于SSS的识别,而血管介入治疗是其有效的治疗措施。Objective To investigate the clinical characteristics of subclavian steal syndrome and the effect of the vascular interven- tional therapy. Methods Clinical data of 6 patients with subclavian steal syndrome were retrospectively analyed. Results Among 6 pa- tients, dizziness was the main symptoms in 5 people, whose bilateral upper-limb pulse pressures were above 20 mmHg. Stenosis systolic mur- murs of ipsilateral supraclavicular fossae could be heard in all patients. Above all, dizzy symptoms of 3 patients among them were significantly improved after endovaseular interventional therapy. Conclusion Bilateral upper-limb pulse pressures and auscultation of vascular murmurs are particularly important in diagnosing subclavian steal syndrome. Endovascular interventional therapy will make the treatment for subclavian steal syndrome more effectively.

关 键 词：锁骨下盗血综合征 多发性大动脉炎 脑血管造影 介入治疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学]