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后循环进展性脑梗死42例临床分析
引用本文:祝茗,王为珍,郑茜,赵永波.后循环进展性脑梗死42例临床分析[J].神经疾病与精神卫生,2005,5(2):94-96.
作者姓名:祝茗  王为珍  郑茜  赵永波
作者单位:200080,上海交通大学附属第-人民医院神经内科
摘    要:目的研究后循环进展性脑梗死的临床表现及MRI、MRA、DSA特征。方法对我院2003年1月~2004年12月住院的42例后循环进展性脑梗死的患进行回顾性分析。结果在急性后循环脑梗死中约25%为进展性,发病3~5天内进展多见。主要危险因素为高血压、糖尿病、冠状动脉疾病、高脂血症、吸烟。眩晕为最常见(85.7%),以及构音障碍50.0%,意识障碍47.6%,共济失调42.9%,肢体瘫痪66.7%(偏瘫52.4%、四肢瘫14.3%)。多部位梗死多于单部位梗死,后循环近段、远段同时梗死或远段梗死,预后不良,基底动脉主干阻塞预后差。结论应提高对后循环进展性脑梗死的认识,及时识别,尽早治疗。

关 键 词:进展性卒中  神经恶化  后循环梗死
文章编号:1009-6574(2005)02-0094-03
修稿时间:2005年3月2日

Clinical Analysis of Progressive Infarcts in Posterior Circulation
Zhu Ming,Wang Weizhen,Zheng Qian,et al..Clinical Analysis of Progressive Infarcts in Posterior Circulation[J].Nervous Diseases and Mental Health,2005,5(2):94-96.
Authors:Zhu Ming  Wang Weizhen  Zheng Qian  
Abstract:Objective To investigate the clinical manifestations and the features of MRI, MRA, DSA of progressive infarcts in posterior circulation. Methods Restrospective analysis of 42 patients admitted to hospital who suffered from progressive infarcts in the posterior circulation between January, 2003 and December, 2004.Results Among the patients with acute posterior infarcts, about 25% had progressivity, it were more frequent in 3~5 days after onset. Hypertension, diabetes, coronary artery disease, hyperlipidemia and smoking were the main risk factors. Vertigo was most common (85.7%), and dysarthria 50.0%, consciousness disturbances 47.6%, ataxia 42.9%, extremeties paresis 66.7% (hemiparesia 52.4%, retraplegia 14.3%). The multiple infarcts were more frequent in neurological worsening than the single lesion. Patients had poor prognosis with simultaneous proximal and distal territory involvement in the posterior circulation, and patients who had basilar artery occlusive lesions had very bad prognosis.Conclusions Clinical and radiological features of the progressive posterior infarcts and its recognitions should be looked ahead. It should be differentiated and treated as early as possible.
Keywords:Advancing stroke Infarction in posterior circulation Neurological worsening
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