感染性心内膜炎并发颅内出血的CT表现和发病机理  

The CT Findings and Mechanisms of Intracranial Hemorrhage Complicating Infective Endocarditis

作　　者：胡东劲[1] 夏成芳[1] 严建春[1] 张卫东[1] 

机构地区：[1]江苏省镇江市第四人民医院影像科,江苏镇江212001

出　　处：《实用放射学杂志》2003年第5期404-406,共3页Journal of Practical Radiology

摘　　要：目的　分析感染性心内膜炎并发颅内出血的CT表现及发病机理。方法　搜集 5例感染性心内膜炎并发颅内出血的临床资料 ,5例均进行了CT平扫。结果　感染性心内膜炎并发颅内出血包括脑实质血肿、蛛网膜下腔出血和出血性梗塞。脑实质血肿可单发或多发 ,均位于皮层或皮层下区。Objective To analyze the CT findings and mechanisms of intracranial hemorrhage complicating infective endocarditis(IE).Methods The clinical materials of 5 cases with intracranial hemorrhage complicating IE were collected. Unenhanced CT was performed in all cases. Results Intracranial hemorrhage complicating IE included parenchymal hematomas, subarachnoid hemorrhages and hemorrhagic infarcts. Parenchymal hematomas could be sporadic or multiple and were all located in cortical or subcortical regions. Conclusion Perfectly understanding the mechanisms of the intracranial hemorrhage complicating IE is helpful to understand its CT findings and helpful for etiological diagnosis .

关 键 词：感染性心内膜炎 并发症 颅内出血 CT表现 发病机理 

分 类 号：R542.41[医药卫生—心血管疾病] R651.15[医药卫生—内科学]