急性脑血管病致偏侧舞蹈症(附45 例临床分析).pdf

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第 29 卷黑龙江医学 Vol. 29 ,No. 4

642 2005 年第 4 期 HEI LON G J IAN G MEDICAL JOURNAL Apr. 2005
急性脑血管病致偏侧舞蹈症(附 45 例临床分析)
白玉海,王晓红,曹丽华,崔志堂
(大庆油田总医院,黑龙江大庆 163000)
摘要:目的通过对急性脑血管病导致偏侧舞蹈症患者的临床分析,总结该病的发病原因及预后。方法
对 45 例急性脑血管病所致的偏侧舞蹈症患者的临床表现、实验室检查、影像学改变、治疗及转归情况进行
回顾性分析。结果 45 例偏侧舞蹈症中脑梗死 40 例,其中多发性腔隙性脑梗死 37 例,大面积脑梗死 3 例;
脑出血 5 例,丘脑区小量出血 3 例,基底节区大量出血 2 例。在原发病治疗的基础上,应用氟哌啶醇,症状在
7 d 内消失 42 例。结论急性脑血管病为突发性偏侧舞蹈症的主要病因之一,以基底节区病变所致为主,在
原发病治疗的基础上,应用氟哌啶醇治疗效果较好。
关键词:神经病学;急性脑血管病;偏侧舞蹈症;氟哌啶醇
学科分类代码: 320 54 中图分类号: R743 文献标识码: A
文章编号: 1004 - 5775 (2005) 04 - 0246 - 02
Clinical Analysis of Partial Chorea Caused by Acute Cerebral Angiopathy
BAI Yu - hai , WAN G Xiao - hong , CAO Li - hua , et al .
( Depart ment of Neurology , The General Hospital of Daqing Oil Fiel d , Daqing 163000 , China )
Abstract :Objective To summarize the etiology and prognosis with analysis on partial chorea caused by acute cerebral an
giopathy. Methods The clinical data of 45 cases partial chorea in clinical manifestation , lab test , imaging changes ,
treatment and recover were analyzed retrospectively. Results There were 40 cases cerebral infarction and 5 cases bleed
ing. Among them , there were 37 cases multiple lacunae infarction , 3 cases of large area infarction , 3 cases of small bleed
ing and large bleeding at basal ganglion. All cases were treated with aloperidi