中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
CHINESE JOURNAL OF GENERAL PRACTITIONERS
2014年
6期
492-494
,共3页
甲基苯丙胺%脑血管意外
甲基苯丙胺%腦血管意外
갑기분병알%뇌혈관의외
Methamphetamine%Cerebrovascular accident
报道冰毒相关性缺血性卒中1例,并进行文献复习。检索1978年至2009年中国生物医学文献数据库及Medline英文数据库,获得相关文献33篇,共报道冰毒相关性脑卒中47例,其中缺血性卒中13例,出血性卒中34例。14例(含本院1例)缺血性卒中,男∶女=9∶5,年龄19~45岁,主要为前循环病变(13例),多病灶责任血管存在闭塞或狭窄病变(10例),主要表现为偏瘫(12例)。34例出血性卒中,男∶女=12∶5;年龄16~60岁,≤45岁28例(82%),脑出血比例最多(85%),主要表现为头痛(76%)、意识障碍(62%)。冰毒相关性脑卒中在青年男性多见,缺血性脑卒中多累及前循环,临床表现以偏瘫多见;出血性卒中的出血部位广泛,临床表现以头痛、意识障碍多见。
報道冰毒相關性缺血性卒中1例,併進行文獻複習。檢索1978年至2009年中國生物醫學文獻數據庫及Medline英文數據庫,穫得相關文獻33篇,共報道冰毒相關性腦卒中47例,其中缺血性卒中13例,齣血性卒中34例。14例(含本院1例)缺血性卒中,男∶女=9∶5,年齡19~45歲,主要為前循環病變(13例),多病竈責任血管存在閉塞或狹窄病變(10例),主要錶現為偏癱(12例)。34例齣血性卒中,男∶女=12∶5;年齡16~60歲,≤45歲28例(82%),腦齣血比例最多(85%),主要錶現為頭痛(76%)、意識障礙(62%)。冰毒相關性腦卒中在青年男性多見,缺血性腦卒中多纍及前循環,臨床錶現以偏癱多見;齣血性卒中的齣血部位廣汎,臨床錶現以頭痛、意識障礙多見。
보도빙독상관성결혈성졸중1례,병진행문헌복습。검색1978년지2009년중국생물의학문헌수거고급Medline영문수거고,획득상관문헌33편,공보도빙독상관성뇌졸중47례,기중결혈성졸중13례,출혈성졸중34례。14례(함본원1례)결혈성졸중,남∶녀=9∶5,년령19~45세,주요위전순배병변(13례),다병조책임혈관존재폐새혹협착병변(10례),주요표현위편탄(12례)。34례출혈성졸중,남∶녀=12∶5;년령16~60세,≤45세28례(82%),뇌출혈비례최다(85%),주요표현위두통(76%)、의식장애(62%)。빙독상관성뇌졸중재청년남성다견,결혈성뇌졸중다루급전순배,림상표현이편탄다견;출혈성졸중적출혈부위엄범,림상표현이두통、의식장애다견。
A case of methamphetamine-related cerebral infarction was reported and the relevant databases of CBMdisc and Medline were searched.Among 14 cases of ischemic stroke , the ratio of male:female was 9∶5 and the age range 19-45 years.There were anterior circulation lesions ( n=13,92.8%) and 10 of them (71.3%) had cerebral vascular occlusion or stenosis.And the predominant manifestation was hemiplegia (85.7%);among 34 cases of hemorrhagic stroke ,the ratio of male: female was 12∶5 and the age range 16-60 years.And 28 cases (82%) were≤45 years.Cerebral hemorrhage was the most common (85%).The major manifestations were headache ( n =26, 76%) and disturbance of consciousness (n=21,62%).The methamphetamine-related stroke occurs frequently in young males.And ischemic stroke tends to involve anterior circulation and cause hemiplegia.Yet hemorrhagic stroke has extensive attack sites and headache and disturbance of consciousness are quite common.