非大动脉粥样硬化型脑梗死130例临床分析  

Clinical analysis of 130 cases of non-large-artery atherosclerotic cerebral infarction

作　　者：高菲[1] 马博雅[1] 王钊[1] 安静[1] 王振海[2] 

机构地区：[1]宁夏医科大学临床医学院,宁夏银川750000 [2]宁夏医科大学总医院神经病学中心,宁夏银川750000

出　　处：《中风与神经疾病杂志》2017年第3期230-233,共4页Journal of Apoplexy and Nervous Diseases

摘　　要：目的探讨非大动脉粥样硬化型脑梗死病因、神经功能缺损情况、影像学检查及治疗。方法连续收集非大动脉粥样硬化型脑梗死患者130例,按照TOAST分型标准进行病因分型并分析其临床特点。结果本组患者TOAST分型的结果是:不明原因型53例(40.8%),小动脉闭塞型39例(30.0%),心源性栓塞型28例(21.5%)、其他明确病因型10例(7.7%)。心源性栓塞型平均年龄最大,其他明确病因型最小(χ~2=16.211,P<0.05)。小动脉闭塞型入院时神经功能缺损最轻,其他明确病因型病情最重(χ~2=4.347,P<0.05)。结论非大动脉粥样硬化型脑梗死病因复杂,各亚型的临床特点存在较大差异,临床上需要根据不同病因予以个体化医疗支持及评估预后。Objective To explore the causes,neurological deficit,imaging examinations and treatment of non-largeartery atherosclerotic cerebral infarction. Methods 130 cases of consecutive patients with non-large-artery atherosclerotic cerebral infarction were included. They were divided into different groups based on the TOAST criteria and their clinical features were analyzed. Results The classification of the TOAST subtypes in this group were stroke of undetermined cause（ 53 cases,40. 8%）,stroke of small-artery occlusion（ 39 cases,30. 0%）,stroke of cardioembolism（ 28 cases,21. 5%）,stroke of other determined cause（ 10 cases,7. 7%）. The average age of stroke of cardioembolism was maximal and the average age of stroke of small-artery occlusion was minimum（ χ2= 16. 211,P〈0. 05）. The patients with stroke of small-artery occlusion had the lightest neurological deficit and the patients with stroke of other determined cause had the severest neurological deficit（ χ2= 4. 347,P〈0. 05）. Conclusion The causes of non-large-artery atherosclerotic cerebral infarction were complicated. Different types had obviously different clinical features. We should give individual treatment and evaluate prognosis clinically according to different causes.

关 键 词：非大动脉粥样硬化型脑梗死 TOAST分型 临床分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学]