支气管镜检查术后脑卒中二例  

Two cases of stroke after bronchoscopy

作　　者：刘士甫[1] 戴二黑[2] 王瑜玲[2] 张鑫[1] 赵磊[1] Liu Shifu;Dai Erhei;Wang Yuling;Zhang Xin;Zhao Lei(Department of Tuberculosis,the Fifth Hospital of Shijiazhuang,Hebei 056000,China)

机构地区：[1]石家庄市第五医院结核科,河北056000 [2]石家庄市第五医院住院部,河北056000

出　　处：《脑与神经疾病杂志》2024年第6期342-345,共4页Journal of Brain and Nervous Diseases

基　　金：河北省科技成果重点推广计划(20220204)。

摘　　要：目的通过支气管镜检查术后并发脑卒中患者2例临床分析,对支气管镜检查术后脑卒中的危险因素进行探索。方法通过对石家庄市第五医院收治的二例支气管镜检查术后出现脑卒中的患者蛛网膜下腔出血(SAH)1例、急性脑梗死(ACI)1例病历进行报道,分析支气管镜检查术后发生脑卒中的危险因素。结果高龄患者如伴有高血压、糖尿病、颅内动脉粥样硬化及其他心脑血管疾病等脑卒中危险因素,支气管镜检查存在较高风险。结论高龄且伴有高血压、糖尿病、颅内动脉粥样硬化等脑卒中高危人群应慎用或禁用支气管镜检查,术前应进行充分的病情评估和术前准备,从而防止术后脑卒中的发生。Objective To explore the risk factors of stroke after bronchoscopy through the clinical analysis of two patients with stroke after bronchoscopy.Methods Objective to analyze the risk factors of stroke after bronchoscopy by reporting two cases of stroke after bronchoscopy in Shijiazhuang Fifth Hospital(1)case of subarachnoid hemorrhage(SAH)and 1 case of acute cerebral infarction (ACI).Results Older patients with stroke risk factors such as hypertension,diabetes mellitus,intracranial atherosclerosis and other cardiovascular and cerebrovascular diseases have a higher risk of bronchoscopy.Conclusion Elderly people with high risk of stroke such as hypertension,diabetes mellitus,intracranial atherosclerosis should be cautious or forbidden to use bronchoscopy,and adequate condition assessment and preoperative preparation should be carried out before surgery,so as to prevent the occurrence of postoperative stroke.

关 键 词：支气管镜检查 脑卒中 临床分析 

分 类 号：R743.32[医药卫生—神经病学与精神病学]