疑难病杂志
疑難病雜誌
의난병잡지
JOURNAL OF DIFFICULT AND COMPLICATED CASES
2014年
9期
900-902,903
,共4页
毛森林%马翊竑%姚海乾%王澎伟%李明杰
毛森林%馬翊竑%姚海乾%王澎偉%李明傑
모삼림%마익횡%요해건%왕팽위%리명걸
急性脑梗死%动脉溶栓%静脉充盈早现%脑出血
急性腦梗死%動脈溶栓%靜脈充盈早現%腦齣血
급성뇌경사%동맥용전%정맥충영조현%뇌출혈
Acute cerebral infarction%Arterial thrombolysis%Early venous filling%Cerebral hemorrhage
目的：探讨急性脑梗死患者动脉溶栓中静脉充盈早现征象与溶栓并发脑出血的关系。方法纳入急性脑梗死患者145例行动脉溶栓治疗，并同时行脑血管造影，依据造影过程中静脉充盈早现征象的有无分为静脉充盈早现组42例和无静脉充盈早现组103例，比较2组并发脑出血的发生率。再将静脉充盈早现组分为丘脑纹状体静脉充盈亚组18例和脑皮质静脉充盈亚组24例，比较该2个亚组并发脑出血的发生率。结果静脉充盈早现组较无静脉充盈早现组并发脑出血的发生率增高（26Ё．2％ vs．1．9％），差异有统计学意义（χ2＝18．626， P ＜0．01）；丘脑纹状体静脉充盈亚组并发脑出血的发生率高于脑皮质静脉充盈亚组（44．4％ vs．12．5％），差异亦有统计学意义（χ2＝3．903， P ＜0．05）。结论动脉溶栓过程中出现静脉充盈早现征象（尤其是丘脑纹状体静脉）提示溶栓并发脑出血的风险增大。
目的：探討急性腦梗死患者動脈溶栓中靜脈充盈早現徵象與溶栓併髮腦齣血的關繫。方法納入急性腦梗死患者145例行動脈溶栓治療，併同時行腦血管造影，依據造影過程中靜脈充盈早現徵象的有無分為靜脈充盈早現組42例和無靜脈充盈早現組103例，比較2組併髮腦齣血的髮生率。再將靜脈充盈早現組分為丘腦紋狀體靜脈充盈亞組18例和腦皮質靜脈充盈亞組24例，比較該2箇亞組併髮腦齣血的髮生率。結果靜脈充盈早現組較無靜脈充盈早現組併髮腦齣血的髮生率增高（26Ё．2％ vs．1．9％），差異有統計學意義（χ2＝18．626， P ＜0．01）；丘腦紋狀體靜脈充盈亞組併髮腦齣血的髮生率高于腦皮質靜脈充盈亞組（44．4％ vs．12．5％），差異亦有統計學意義（χ2＝3．903， P ＜0．05）。結論動脈溶栓過程中齣現靜脈充盈早現徵象（尤其是丘腦紋狀體靜脈）提示溶栓併髮腦齣血的風險增大。
목적：탐토급성뇌경사환자동맥용전중정맥충영조현정상여용전병발뇌출혈적관계。방법납입급성뇌경사환자145례행동맥용전치료，병동시행뇌혈관조영，의거조영과정중정맥충영조현정상적유무분위정맥충영조현조42례화무정맥충영조현조103례，비교2조병발뇌출혈적발생솔。재장정맥충영조현조분위구뇌문상체정맥충영아조18례화뇌피질정맥충영아조24례，비교해2개아조병발뇌출혈적발생솔。결과정맥충영조현조교무정맥충영조현조병발뇌출혈적발생솔증고（26Ё．2％ vs．1．9％），차이유통계학의의（χ2＝18．626， P ＜0．01）；구뇌문상체정맥충영아조병발뇌출혈적발생솔고우뇌피질정맥충영아조（44．4％ vs．12．5％），차이역유통계학의의（χ2＝3．903， P ＜0．05）。결론동맥용전과정중출현정맥충영조현정상（우기시구뇌문상체정맥）제시용전병발뇌출혈적풍험증대。
Objective To investigate the relationship between early venous filling and brain hemorrhage during thrombolysis in patients with thrombolytic therapy for acute cerebral infarction .Methods One hundred and forty-five cases of patients with acute cerebral infarction who treated with arterial thrombolysis were enrolled , cerebral angiography were per-formed, on the basis of early venous filling sign , patients were divided into venous filling group with 42 cases and no venous filling group with 103 cases, cerebral hemorrhage rate were compared between the 2 groups.Then the vein filling group was divided into thalamostriate vein filling sub group with 18 cases and cerebral cortical vein filling sub group with 24 patients, cerebral hemorrhage rate was compared between the 2 sub-groups.Results Venous early filling group has higher incidence of cerebral thrombosis than in the no venous filling group (26.2%vs.1.9%), the difference was statistically significant (χ2 =18.626, P <0.01);thalamostriate vein filling subgroup's cerebral hemorrhage incidence was higher than that of cerebral cor -tical vein filling subgroup (44.4%vs.12.5%), the difference was statistically significant (χ2 =3.903, P <0.05).Con-clusion Venous filling early signs in arterial thrombolysis process ( especially the thalamostriate vein thrombolysis ) prompted the risk of cerebral hemorrhage complication .
