以孤立性眩晕为主的后循环梗死的临床分析  

Clinical Analysis of Posterior Circulation Infarction with Isolated Vertigo

作　　者：张红霞[1] 张学艳[1] 刘福兴[1] 张丽[1] 王焱浩 ZHANG Hong-xia;ZHANG Xue-yan;LIU Fu-xing;ZHANG Li;WANG Yan-hao(Department of Neurology,Baoding first Central Hospital,Hebei Baoding 071000,China)

机构地区：[1]保定市第一中心医院神经内科,河北保定071000

出　　处：《临床医药文献电子杂志》2020年第24期10-10,12,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的分析以孤立性眩晕为主的后循环梗死的临床特征。方法抽取2018年3月~2019年3月我院42例以孤立性眩晕为主的后循环梗死患者及42例良性阵发性位置性眩晕患者,归为脑梗死组和非脑梗死组,对两组临床特点进行分析。结果脑梗死组糖尿病发病率(64.29%)、高血压发病率(76.19%)、冠心病发病率(47.02%)高于非脑梗死组,P<0.05。脑梗死组有25例患者梗死部位在脑干,14例患者梗死部位在丘脑,3例患者梗死部位在小脑半球。结论以孤立性眩晕为主的后循环梗死患者多存在糖尿病、高血压等基础疾病,且发生部位多为脑干、丘脑、小脑半球等。Objective To analyze the clinical characteristics of posterior circulation infarction with isolated vertigo as the main factor.Methods From March 2018 to March 2019,42 patients with posterior circulation infarction mainly isolated vertigo and 42 patients with benign paroxysmal positional vertigo were selected and divided into cerebral infarction group and non-cerebral infarction group.The clinical characteristics of the two groups were analyzed.Results The incidence of diabetes(64.29%),hypertension(76.19%)and coronary heart disease(47.02%)in cerebral infarction group were higher than those in non-cerebral infarction group,P<0.05.In the cerebral infarction group,25 patients had the infarct site in the brainstem,14 patients had the infarction site in the thalamus,and 3 patients had the infarction site in the cerebellar hemisphere.Conclusion The patients with posterior circulation infarction mainly with solitary vertigo mostly have basic diseases such as diabetes and hypertension,and the occurrence sites are mostly brain stem,thalamus and cerebellar hemisphere.

关 键 词：后循环梗死 孤立性眩晕 临床特征 

分 类 号：R743.3[医药卫生—神经病学与精神病学]