《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (5): 481-484.

• 论文 • 上一篇    下一篇

头臂干血栓致脑栓塞1 例报道

董静，马欣，郄静媛   

  1. 首都医科大学宣武医院神经内科，北京市100053。
  • 收稿日期:2014-03-27 修回日期:2014-04-30 出版日期:2014-05-25 发布日期:2014-05-25
  • 通讯作者: 马欣

Cerebral Embolism from Brachiocephalic Artery Thrombosis: A Case Report

DONG Jing, MA Xin, QIE Jing-yuan.   

  1. Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
  • Received:2014-03-27 Revised:2014-04-30 Published:2014-05-25 Online:2014-05-25

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被引次数

5

摘要： 目的讨论头臂干血栓致脑栓塞的临床特点及诊治策略。方法报道1 例头臂干血栓所致急性脑栓塞患者的临床表现、影像学特征及诊治方法。结果同时存在右侧前后脑循环区域多发急性脑梗死；胸主动脉超声提示头臂干处存在随心动周期活动的血栓团块；抗凝药物是其主要治疗方法。结论对急性右侧前后脑动脉循环多发脑梗死患者需积极进行胸主动脉超声检查以观察头臂干部位血管状况，对存在头臂干血栓者应立即采用抗凝治疗。

关键词: 头臂干, 血栓, 脑栓塞, 脑梗死, 超声

Abstract: Objective To analyze the clinical characteristics, diagnosis and treatment of cerebral embolism from brachiocephalic artery thrombosis. Methods A case was reviewed with literature. Results Acute multiple cerebral infarctions were found in both right anterior and posterior circulation. Arterial floating thrombi with cyclic motion relating to cardiac cycles was found with transthoracic Doppler ultrasonography.Anticoagulation therapy played the major role in treatment. Conclusion Transthoracic Doppler ultrasonography is recommended in the suspicion of patients with typical clinical presentations in order to investigate the vascular conditions in the brachiocephllic trunk, and anticoagulation
therapy should be initiated immediately after the thrombi have been detected.

Key words: brachiocephalic trunk, thrombosis, cerebral embolism, cerebral infarction, ultrasonography