在超急性中风患者中全身计算机断层扫描的产量与大血管封闭
Kenichi Sakuta1, Hiroshi Yaguchi1, Ryoji Nakada1
1Department of Neurology, The Jikei University Kashiwa Hospital, Chiba, Japan.
系统性栓塞发生在13%的大血管封闭 (LVO) 卒中患者中,这些患者接受了再血管化. 脏是最常见的部位,所有病例都涉及栓塞性LVO.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
背景情况:
- 在缺血性中风中,大血管封闭 (LVO) 往往源于栓塞.
- 系统性栓塞可以与脑血栓形成并存.
研究的目的:
- 确定LVO中风患者全身栓塞的发生率和解剖分布.
- 评估LVO中风患者进行重血管化治疗的栓塞源.
主要方法:
- 对612名中风患者的回顾性分析,包括32名LVO患者接受了再血管化.
- 胸部到腹部的对比增强计算机断层扫描 (CE-CT) 用于系统性栓塞的评估.
- 用心电图和实验室发现来评估心肌梗塞.
主要成果:
- 在32名LVO患者中有4名 (13%),检测到全身栓塞.
- 脏是受影响最常见的器官,其次是心脏,脏,四肢和肺.
- 所有患有全身栓塞的患者都有源自栓塞的LVO.
结论:
- 在LVO中风患者中,系统性栓塞发生在13%.
- 这些发现强调了这些患者的LVO的栓塞性质,以及脏作为栓塞的常见部位.
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