[1]韩艳庆,董 成,徐 玲.脑梗死并发急腹症诊治分析[J].医学信息,2018,31(06):188-189.[doi:10.3969/j.issn.1006-1959.2018.06.068]
　HAN Yan-qing,DONG Cheng,XU Ling.Analysis of Diagnosis and Treatment of Acute Cerebral Infarction Complicating Acute Abdominal Disease[J].Journal of Medical Information,2018,31(06):188-189.[doi:10.3969/j.issn.1006-1959.2018.06.068]
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脑梗死并发急腹症诊治分析()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年06期
页码:
188-189
栏目:
出版日期:
2018-03-20

文章信息/Info

Title:
Analysis of Diagnosis and Treatment of Acute Cerebral Infarction Complicating Acute Abdominal Disease
文章编号:
1006-1959（2018）06-0188-02
作者:
韩艳庆; 董 成; 徐 玲
天津市环湖医院外科/天津市脑血管与神经变性重点实验室，天津 300350
Author(s):
HAN Yan-qing; DONG Cheng; XU Ling
Department of Surgery,Tianjin Huanhu Hospital/Tianjin Key Laboratory of Cerebral Vascular and Neurodegeneration, Tianjin 300350, China
关键词:
脑梗死; 急腹症; 神经功能
Keywords:
Key words：Cerebral infarction; Acute abdomen; Neurological function
分类号:
R743.33；R656.1
DOI:
10.3969/j.issn.1006-1959.2018.06.068
文献标志码:
B
摘要:
目的 分析脑梗死合并急腹症的临床特点，提高诊断治疗水平。方法 回顾性分析我院2015~2016年收治的脑梗死患者病历，从中筛选出12例脑梗死合并急腹症患者的临床资料，对其临床病程及预后进行分析。结果 脑梗死合并肠梗阻6 例，合并胆囊炎4例，合并腹外疝嵌顿 2例。手术治疗3例，1例死亡，2例病情加重。保守治疗9例。结论 脑梗死合并急腹症患者临床表现症状不典型，合并急腹症后部分脑梗死病情加重，神经功能缺损症状加重。脑梗死合并急腹症发生率虽不高，但增加了脑梗死治疗的复杂性、致残率和死亡率。在积极治疗脑梗死的同时，应密切注意及预防急腹症的发生。
Abstract:
Abstract：Objective To analyze the clinical features of cerebral infarction and improve the level of diagnosis and treatment of acute abdomen.Methods A retrospective analysis of our hospital from 2015~2016 in patients with cerebral infarction were selected medical records, clinical data of 12 cases of patients with cerebral infarction complicated with acute abdominal pain in the clinical course and prognosis analysis.Results There were 6 cases of cerebral infarction combined with intestinal obstruction,4 cases with cholecystitis and 2 cases with incarceration of external hernia.Surgical treatment was performed in 3 cases,1 cases died,and 2 cases were aggravated.9 cases were treated with conservative treatment.Conclusion The clinical manifestations of acute cerebral infarction in patients with acute abdomen are not typical.After acute abdomen,some cerebral infarctions are aggravated,and neurological deficits are aggravated.Although the incidence of acute cerebral ablation with acute abdomen is not high,it increases the complexity,disability and mortality of cerebral infarction treatment.In the active treatment of cerebral infarction,we should pay close attention to and prevent the occurrence of acute abdomen.

参考文献/References:

[1]陈竺.全国第三次死因回顾抽样调查报告[M].北京:中国协和医科大学出版社,2008:52-87. [2]中华医学会神经病学分会.中国急性缺血性脑卒中诊治指南2014[J].中华神经科杂志,2015,48(4):246-257. [3]徐欣萍,安博,邹军,等.缺血性脑卒中大鼠肝损害及与肠源性内毒素血症的关系研究[J].湖南中医药大学学报,2012,32(6):710.

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更新日期/Last Update: 2018-03-15