缺铁性贫血并发脑血栓形成4例临床分析

目的 探讨脑血栓形成与缺铁性贫血之间的关系,临床表现及治疗.方法:回顾性分析4例缺铁性贫血并发脑梗死患者的临床资料.结果:4例患者均为中重度贫血,血小板增多,血压偏低,2例存在慢性感染病灶.所有患者均为颈内动脉系统脑梗死,其中2例为分水岭梗死,2例为基底节梗死.吸氧、纠正贫血、调整血压在适当水平以及其他常规治疗有效.结论:对于中重度缺铁性贫血患者,如伴有血小板增多和血压偏低等情况,易导致脑血栓形成.在常规治疗脑血栓形成的同时应注意寻找贫血原因并且纠正贫血.

Iron-deficiency anemia complicated by cerebral thrombosis an analysis of 4 cases

Objective To investigate the relationship between cerebral thrombosis and iron-deficiency anemia, and their clinical manifestations and therapy. Methods The clinical data of 4 patients with iron deficiency anemia complicated by cerebral thrombosis were analyzed retrospectively. Results Four patients were moderate-to-sexere anemia with thrombocytosis, and their blood pressure was relatively low. Two had chronic infection foci. All patients had cerebral infarction in the internal carotid system, of those, 2 were weatershed infarctions, and 2 were basal ganglia infarctions. Oxygen inhalation, correcting anemia, adjusting blood presssure to an appropriate level, and other conventional treatment were effective. Conclusions The patients with moderate-to-severe anemia, such as accompanied by thrombocytosis and lower blood pressure, are easy to came thrombosis. While in the routine treatment of cerebral thrombosis, attention should be paid to finding the causes of anemia and correcting them.