32例基底动脉尖综合征的临床研究

目的：探讨基底动脉尖综合征（TOB）的病因，总结TOB的临床症状及影像学表现；以期加深对TOB的认识，能更好的服务于TOB的诊断与治疗。方法：回顾性分析本院2008—2012年期间收治的32例基底动脉尖综合征患者。结果：中老年是TOB的高发人群；原发性高血压是最常见危险因素（53．1％），其次为心脏病，常见有心房纤颤、心肌梗死等和糖尿病，有少部分患者有动脉炎和高脂血症史，也有部分患者有吸烟、酗酒等不良嗜好史；突然眩晕伴视物旋转、呕吐是常见的首发临床表现，继发临床表现主要有意识模糊、昏睡、浅昏迷等；眼球运动障碍；双瞳孔散大或呈椭圆形；记忆障碍；偏瘫；少数患者出现偏盲和小脑共济失调。CT和MRI影像数据表明TOB患者的中脑或丘脑合并小脑、颞叶、枕叶等部位梗死。结论-TOB诊断的主要依据是临床表现和影像学特征；原发性高血压是TOB最常见危险因素（P〈0．05）；CT和Mm影像学表现可为TOB诊断提供可靠依据；脑疝是TOB患者的主要死亡原因，早期对症综合治疗可有效降低死亡率和改善预后。

ABOUT 32 CASES OF BASILAR ARTERY POINTED SYNDROME IN CLINICAL RESEARCH

Objective：To investigate the basilar artery syndrome （TOB）, the etiology, summarize the clinical symptoms and imaging findings of TOB; In order to deepen the understanding of TOB, and provide better service in the diagnosis and treatment d TOB. Methods：To analyze retrospectively 32 cases of basilar artery pointed syndrome patierts of our hospital during 2008 - 2012. Resuits：The old are the high - risk group of TOB; Primary hypertension is the most common risk factor （53. 1% ）, followed by heart di ease, commonly atrial fibrillation, myocardial infarction, and diabetes,a few patients with arterial inflammation and history of hyped -ipidemia, and some patients with a history of bad habits such as smoking and drinking aloohol;, common expns as suaaen veo, mm aepenomg on the content d rotating and vomitinge the starting clinical manifestations, secondary clinical main conscious fu, lethargy, shaHbw corn, etc; eye movement;double pupil scattered big or oval; memory disorders; hemip｜egia- A small number of patients with/abstract and ataxia. Computed tomognq （CT） and magnetic resonance imaging （MRI） image data show that ＇rOB in patients with midbmin or thalamus cerebellum, occipital lobe, temporal lobe etc mx. Colsduskm：TOB diagnosis is the main basis of clinical manifestations and imaging features; essential hypertension is the most common TOB risk factors （ P 〈 0. 05 ） ; Computed tomography （CT） and magnetic resonance imaging （ MRI ） findings can provide reliable basis for the diagnosis dTOB; mare cause of death in patients with cerebral hernia is TOB, early symptomatic treatment can effectively reduce mortality and improve the prognosis.