中国卒中杂志
中國卒中雜誌
중국졸중잡지
CHINESE JOURNAL OF STROKE
2014年
9期
757-761
,共5页
汪敬业%张辉%卓胜霞%汪凯
汪敬業%張輝%卓勝霞%汪凱
왕경업%장휘%탁성하%왕개
急性多发性脑梗死%贫血%磁共振弥散成像
急性多髮性腦梗死%貧血%磁共振瀰散成像
급성다발성뇌경사%빈혈%자공진미산성상
Acute multiple brain infarction%Anemia%Diffusion-weighted magnetic resonance imaging
目的分析总结急性期脑梗死合并贫血患者的临床、影像学特点。<br> 方法回顾分析成人急性期脑梗死合并贫血患者的临床资料，总结其临床特点并分析急性梗死病灶的分布特征。<br> 结果入组27例患者，男性14例，女性13例，平均年龄（67.1±11.9）岁（49～84岁），平均血红蛋白浓度（67.5±18.5）g/L（33～107 g/L）。该组患者具有如下特点：13例（48.1%）患者卒中危险因素≤1，13例（48.1%）患者出现意识障碍。16例（59.3%）患者表现为急性多发性脑梗死（acute multiple brain infarction，AMBI），12例（75%）的AMBI累及1个以上循环。13例（48.1%）在2周内有卒中复发并加重。<br> 结论脑梗死合并贫血患者卒中危险因素少，但急性期内复发率高，出现意识障碍及AMBI患者比例较高，累及1个以上循环的AMBI多见。
目的分析總結急性期腦梗死閤併貧血患者的臨床、影像學特點。<br> 方法迴顧分析成人急性期腦梗死閤併貧血患者的臨床資料，總結其臨床特點併分析急性梗死病竈的分佈特徵。<br> 結果入組27例患者，男性14例，女性13例，平均年齡（67.1±11.9）歲（49～84歲），平均血紅蛋白濃度（67.5±18.5）g/L（33～107 g/L）。該組患者具有如下特點：13例（48.1%）患者卒中危險因素≤1，13例（48.1%）患者齣現意識障礙。16例（59.3%）患者錶現為急性多髮性腦梗死（acute multiple brain infarction，AMBI），12例（75%）的AMBI纍及1箇以上循環。13例（48.1%）在2週內有卒中複髮併加重。<br> 結論腦梗死閤併貧血患者卒中危險因素少，但急性期內複髮率高，齣現意識障礙及AMBI患者比例較高，纍及1箇以上循環的AMBI多見。
목적분석총결급성기뇌경사합병빈혈환자적림상、영상학특점。<br> 방법회고분석성인급성기뇌경사합병빈혈환자적림상자료，총결기림상특점병분석급성경사병조적분포특정。<br> 결과입조27례환자，남성14례，녀성13례，평균년령（67.1±11.9）세（49～84세），평균혈홍단백농도（67.5±18.5）g/L（33～107 g/L）。해조환자구유여하특점：13례（48.1%）환자졸중위험인소≤1，13례（48.1%）환자출현의식장애。16례（59.3%）환자표현위급성다발성뇌경사（acute multiple brain infarction，AMBI），12례（75%）적AMBI루급1개이상순배。13례（48.1%）재2주내유졸중복발병가중。<br> 결론뇌경사합병빈혈환자졸중위험인소소，단급성기내복발솔고，출현의식장애급AMBI환자비례교고，루급1개이상순배적AMBI다견。
Objective To analyze and explore the clinical and radiological features of patients with acute brain infarction and anemia. <br> Methods We retrospectively reviewed adult stroke patients with anemia in our hospital consecutively from January 1, 2010 to June 30, 2013. Acute brain infarction should be conifrmed by diffusion-weighted magnetic resonance imaging. Clinical characteristics and radiological proifles were evaluated. <br> Results Twenty-seven patients (14 males and 13 females) were enrolled, with an average age of (67.1±11.9) years (49~84 years), and mean hemoglobin concentration of (67.5±18.5) g/L (33~107 g/L). The patients have following characteristics:13 patients (48.1%) with risk factors for stroke 1. Thirteen patients (48.1%) had consciousness disturbance. Thirteen patients (48.1%) recurred in two weeks. Sixteen patients (59.3%) presented with acute multiple brain infarction (AMBI), and 12 patients (75%) of the AMBI involving more than one circulation. <br> Conclusion Brain infarction with anemia is associated with high AMBI rate, high recurrence rate, high consciousness disturbance and less risk factors. AMBI involving more than one circulation is common in acute brain infarction with anemia.
