冰毒相关性脑卒中一例并文献复习  

Report of one patient of cerebral infarction associated with methamphetamine and a review of pertinent literature

作　　者：肖美娟[1] 邹海[1] 殷为勇[1] 

机构地区：[1]浙江省温州医科大学附属第一医院神经内科,325000

出　　处：《中华全科医师杂志》2014年第6期492-494,共3页Chinese Journal of General Practitioners

摘　　要：报道冰毒相关性缺血性卒中1例，并进行文献复习。检索1978年至2009年中国生物医学文献数据库及Medline英文数据库，获得相关文献33篇，共报道冰毒相关性脑卒中47例，其中缺血性卒中13例，出血性卒中34例。14例（含本院1例）缺血性卒中，男∶女＝9∶5，年龄19～45岁，主要为前循环病变（13例），多病灶责任血管存在闭塞或狭窄病变（10例），主要表现为偏瘫（12例）。34例出血性卒中，男∶女＝12∶5；年龄16～60岁，≤45岁28例（82％），脑出血比例最多（85％），主要表现为头痛（76％）、意识障碍（62％）。冰毒相关性脑卒中在青年男性多见，缺血性脑卒中多累及前循环，临床表现以偏瘫多见；出血性卒中的出血部位广泛，临床表现以头痛、意识障碍多见。A case of methamphetamine-related cerebral infarction was reported and the relevant databases of CBMdisc and Medline were searched.Among 14 cases of ischemic stroke , the ratio of male：female was 9∶5 and the age range 19-45 years.There were anterior circulation lesions （ n=13,92.8%） and 10 of them （71.3%） had cerebral vascular occlusion or stenosis.And the predominant manifestation was hemiplegia （85.7%）;among 34 cases of hemorrhagic stroke ,the ratio of male： female was 12∶5 and the age range 16-60 years.And 28 cases （82%） were≤45 years.Cerebral hemorrhage was the most common （85%）.The major manifestations were headache （ n =26, 76%） and disturbance of consciousness （n=21,62%）.The methamphetamine-related stroke occurs frequently in young males.And ischemic stroke tends to involve anterior circulation and cause hemiplegia.Yet hemorrhagic stroke has extensive attack sites and headache and disturbance of consciousness are quite common.

关 键 词：甲基苯丙胺 脑血管意外 

分 类 号：R743.3[医药卫生—神经病学与精神病学]