冠状动脉造影并发颅内出血的临床特点.doc

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1、•学术交流•冠状动脉造影并发颅内出血的临床特点黄光，王俊芳，唐煜，赵含，刘兴洲【摘要】目的研究冠状动脉造影并发颅内出血的临床特点。方法对12例冠状动脉造影检查并发颅内出血患者的哈床资料进行回顾性分析。结果本织患者有高血压病史1。例(»4%);颅内出血均为急性起病，在冠状动脉造影检查中发病5例，检查后<24h发病7例“临床表现均有止压显著升高，其中头痛、呕吐8例,意识障碍7例,偏傩、言语障碍2例.头痛、发热1例.言语障碍、佃身共济失调1例°头颅CT示大脑半球出血9例，找：中出血破入脑室和蛛网膜下腔3例，小脑出血并破入脑室1例.蛛

2、网膜下腔出血(SAH)l例;腰穿检壳示SA1I1例》经治疗基本痊愈2例，明显好转7例•死亡3例。结论冠状动咏适影弁发颅内出血的患者大多右高他压病史，均在造影检查中或检奁后24h内急性发病，发病时血压显著丑商.转情较重,病死率较高。【关键词】冠状动脉造影；颅内出血；雄床特点【中图分类号】R741.04【文献标识码】A【文章编号】1004-1648(2012)01-006()-03(linicalfeaturesofcoronaryangiographycomplicatedintnuranialhemorrhageHUAN(；Q

3、uing■IF4NCJun-fantTANGYu.rtal.DepartmentofNeurology1卜,心ngHo^nlalAffiliatedtoCapitalMedical(JnivenUyfBejing100038.ChirmAbstract:ObjectiveTonivr^iigatetheclinicalfeaturesofcoronaryangiographynimplicatedintracranialhemorrhage.Meth(»dsThecliniral

4、onaryangiographycomplicatedintracranialhemorrhagewereretn旅prciivelyanalyzed.ResultsTherewere10coses(84%•)hadhypertensionlii^loryinthisgroup.Theonsetofmlra(kraria]hemorrhageinallfiaticntswereacute9andtheonesetin5caseswasduringcororuir)angiography,in7caseswas<24hafter

5、coronaryarigirkgraphy.Theclinicalmanife$tati(HJSwerestrikingbloodpressureelevatedinallofthepatientstandheadacheandvomitingin8caiteA,disturbanceofconsciousnesain7owes,hrmiplegiaandspeechdi师ixUtin2casestlieadmrheand(everin1case,speechdisorderandhemiataxiain1cawSkullC

6、lshowedthattherewerehemisphericcerebralhemorrhagein9cases,includinghemorrhagerupturingintothecerebralventricle#uihIsubarachnoidwpacein3cases,cerrbcllarhemorrhageam!rupturedintoIhecerebralventriclesin1ca^cwsubarachnoidheniorrhage(SAH)1cHses.Tlielumbarpunctureexaminat

7、ionshowedSAHtn1case.Twacasrswerebasi<*allycausrdaftertreatment,rnarkedllyimporovedin7and3weredied.ConclusionsMostofthepatientswithcoronaryangiographymplicatedinlra<*ranialhemorrliagehavehyperlenRionhistory.Theonwtinallofthemacuteduringeommiryangiographyorwithin24

8、haftercoronaryangiography.Thebloodpre^^urcismarkedlyelevaudduringonset.Thisisaseriousdiseasewithhighermolality.Keywords:corwwryangiography