表现为反复短暂性脑缺血发作的无痛性主动脉夹层1例  

Painless aortic dissection with recurrent transient ischemic attack accompanied:a rare case report

作　　者：张婕[1] 张晓琳 邢维昊 刘凤 巫晓宇 熊静[1] ZHANG Jie;ZHANG Xiuulin;XING Weihao

机构地区：[1]昆明医科大学第二附属医院神经内科,昆明650031

出　　处：《临床急诊杂志》2021年第10期697-699,共3页Journal of Clinical Emergency

基　　金：云南省医疗卫生单位内设研究机构科研项目(No:2017NS287);云南省卫计委医学学科带头人培养计划(No:D-2017028);云南省科技厅科学研究基金项目(No:220J0186)。

摘　　要：累及升主动脉和主动脉弓的主动脉夹层与卒中密切相关,5%~10%主动脉夹层Stanford A型患者可并发缺血性脑卒中,但较少作为最初的临床表现[1],短暂性脑缺血发作(transient ischemic attack,TIA)作为主动脉夹层的首发表现更少见。Aortic dissection is seldom considered in the initial evaluation of cerebrovascular disease, and cerebrovascular disease caused by painless aortic dissection is more likely to be missed. We report a rare case of painless type A aortic dissection with transient ischemic attack and significant sinus bradycardia as initial presenting manifestation. The importance of this case is that proximal aortic dissection needs to be considered as a cause of ischemic stroke. In patients with bradycardia and neurological impairment of unexplained origin, a comprehensive physical examination should be performed to detect aortic dissection early, especially before thrombolytic therapy or before further antiplatelet or anticoagulant therapy.

关 键 词：无痛性主动脉夹层 短暂性脑缺血发作 病例报道 

分 类 号：R543.1[医药卫生—心血管疾病]