合并颅内动脉瘤的急性脑梗死静脉溶栓治疗四例报道及文献复习  

Intravenous thrombolysis for patients with acute cerebral infarction combined with intracranial aneurysms： a report of four cases and literature review

作　　者：黄如月[1] 罗敏[1] 黄双双[1] 林玲玲[1] 宋梦婉[1] 张顺开[1] 池丽芬[1] 邵蓓[2] 

机构地区：[1]温州医科大学附属第三医院神经内科,瑞安325200 [2]温州医科大学附属第一医院神经内科,温州325000

出　　处：《中华神经医学杂志》2017年第2期183-185,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨合并颅内动脉瘤的急性脑梗死患者行静脉溶栓治疗的安全性。方法对自2012年至2015年在温州医科大学附属第三医院神经内科行静脉溶栓治疗，后被磁共振弥散加权成像（DwI）和CTA（或MRA）证实为急性脑梗死合并不同部位颅内动脉瘤的4例患者的临床资料进行报道总结。结果4例患者经静脉溶栓治疗后临床预后均改善，均未见症状性脑出血或蛛网膜下腔出血发生。结论合并颅内动脉瘤的急性脑梗死行静脉溶栓治疗可能是安全的。Objective To discuss the cerebral infarction combined with intracranial safety of intravenous thrombolysis in patients with acute aneurysms. Methods Four patients presented with acute cerebral infarction underwent intravenous thrombolysis 4.5 h after onset in our hospital from 2012 to 2015 were chosen in our study; Postoperative diffusion weighted imaging and CT angiography /magnetic resonance angiography conformed that these patients were combined with intracranial aneurysms of different lesions. There clinical data were retrospectively analyzed. Results The prognoses of all four patients were improved. No symptomatic intracerebral hemorrhage or subarachnoid hemorrhage was observed. Conclusion Intravenous thrombolysis may be safe for acute cerebral infarction with intracranial aneurysms.

关 键 词：脑梗死 颅内动脉瘤 静脉溶栓 

分 类 号：R743.33[医药卫生—神经病学与精神病学]