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由于脊椎动脉剖析引起的急性缺血性中风的静脉内血栓溶解:一个病例报告
Han Luo1, Shanshan Li, Xiongbin Cao
1Department of Neurology, Shenzhen Longhua District Central Hospital, Shenzhen, Guangdong Province, PR China.
Medicine
|October 25, 2025
概括
在年轻成年人中,脊椎动脉剖析 (VAD) 中风可以用血栓溶解来治疗. 与VAD相关的中风的早期识别和个性化治疗可以改善结果和血管愈合.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
背景情况:
- 脊椎动脉剖析 (VAD) 是年轻成年人后部循环中风的重要原因.
- 静脉血栓溶解对与VAD相关的中风的安全性和有效性仍在争论中.
- 无特异性VAD症状可能导致诊断延迟.
研究的目的:
- 报告一个急性缺血性中风的病例,该病例是V3段VAD的次要病例,该病例已通过血栓溶解成功治疗.
- 要强调的是,VAD并不是血栓溶解的绝对禁忌.
- 突出早期识别和个性化血栓解压治疗在VAD相关中风中的价值.
主要方法:
- 一名30岁的男性患有V3 VAD和缺血性中风,尽管接受了双重抗血小板治疗,但接受了复合组织-血原激活剂 (rt-PA).
- 头骨计算机断层扫描血管学证实V3脊椎动脉剖析.
- 由于疾病进展,患者接受了静脉输血凝血剂治疗.
主要成果:
- 患者对血栓溶解有迅速反应,症状有所改善,在出院时没有神经缺陷.
- 没有观察到出血变化或严重并发症.
- 3个月后的随访成像显示,切割的脊椎动脉的血管完全愈合.
结论:
- 在急性缺血性中风中,VAD并不是静脉血栓溶解的绝对禁忌.
- 在VAD相关的中风中,早期识别和量身定制的血栓缓解疗法可以带来有利的结果和血管修复.
- 与VAD相关的症状往往是不特定的,需要高临床怀疑及时诊断.
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