伴右向左分流的脑梗死与房颤所致脑梗死患者临床及影像特点  

Clinical and imaging characteristics of cerebral infarction patients with cerebral infarction and atrial fibrillation

作　　者：周芳[1] 庄爱霞[1] 冯寿琴[1] 曾庆宏[1] 殷乐[1] 聂红霞[1] 姜建东[1] ZHOU Fang;ZHUANG Aixia;FENG Shouqin(Department of Neurology,the Second People’s Hospital of Lianyungang,Jiangsu 222023,China)

机构地区：[1]连云港市第二人民医院神经内科,江苏连云港222023

出　　处：《中风与神经疾病杂志》2018年第9期813-816,共4页Journal of Apoplexy and Nervous Diseases

基　　金：连云港市卫计委课题基金(201518)

摘　　要：目的探讨伴有右向左分流的隐源性脑梗死与房颤所致脑栓塞患者临床特点及影像特征。方法回顾性收集2012年12月~2014年12月间入住我科急性脑梗死患者,完善全面检查,按TOAST分型,比较伴有右向左分流的脑梗死与房颤所致脑栓塞患者,两组人群在人口学资料、脑血管病传统危险因素、梗死灶影像学等方面的差异。结果收集与右向左分流相关的脑梗死53例及房颤所致脑栓塞53例,两组在常见脑血管病危险因素方面比较无差异,均以前循环病灶多见,右向左分流相关的脑梗死以皮质/皮质下区域多见,表现为单个≥15 mm的病灶;房颤所致脑栓塞为大面积脑梗死。结论右向左分流相关的脑梗死通常显示前循环、单个、皮质/皮质下、≥15 mm的病灶;房颤所致脑栓塞多为单发大病灶或融合及多个病灶。Objective The clinical features and imaging characteristics of the patients with cryptogenic cerebral infarction and atrial fibrillation were discussed.Methods Retrospectively collected patients with acute cerebral infarction from December 2012 to December 2014 in our department,and improve the comprehensive examination.According to TOAST classification,comparing the differences in traditional demographic data,cerebrovascular disease risk factors,the infarcts imaging,etc.in two groups with right to left shunt cerebral infarction and cerebral embolism caused by atrial fibrillation patients.Results 53 cases of cerebral infarction associated with right to left shunt and 53 cases of cerebral embolism caused by atrial fibrillation were collected,There was no difference in the risk factors of common cerebrovascular diseases between the two groups.The most common lesions were found in anterior circulatory.Cerebral infarction associated with right to left shunt was more common in cortical/subcortical areas,with a single lesion≥15 mm.Cerebral embolism caused by atrial fibrillation was large area of cerebral infarction.Conclusions Right to left shunt related cerebral infarction usually showed anterior circulation,single,cortical/subcortical,≥15 mm lesions,and atrial fibrillation caused cerebral embolism was mostly single large focus or fusion and multiple lesions.

关 键 词：脑卒中 右向左分流 房颤 经颅多普勒超声发泡试验 

分 类 号：R743[医药卫生—神经病学与精神病学]