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中华脑血管病杂志(电子版) ›› 2022, Vol. 16 ›› Issue (03) : 210 -213. doi: 10.11817/j.issn.1673-9248.2022.03.013

病例报告

经皮冠状动脉介入术后突发意识障碍一例
范媛媛1, 徐昕晔1, 徐伟仙1, 张永珍1, 祖凌云1,()   
  1. 1. 100730 北京大学第三医院心血管内科
  • 收稿日期:2021-08-16 出版日期:2022-06-01
  • 通信作者: 祖凌云

Sudden disturbance of consciousness after percutaneous coronary intervention: a case report

Wenli Hu1   

  • Received:2021-08-16 Published:2022-06-01
引用本文:

范媛媛, 徐昕晔, 徐伟仙, 张永珍, 祖凌云. 经皮冠状动脉介入术后突发意识障碍一例[J]. 中华脑血管病杂志(电子版), 2022, 16(03): 210-213.

Wenli Hu. Sudden disturbance of consciousness after percutaneous coronary intervention: a case report[J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2022, 16(03): 210-213.

图1 造影剂脑病患者冠状动脉造影及冠状动脉介入术后。冠脉造影(图a~d)显示:左主干开口狭窄50%;前降支近中段狭窄50%~60%;左回旋支中段狭窄90%,第一钝缘支次全闭塞;右冠状动脉近段狭窄80%。分别于左回旋支(图e)置入支架2枚,右冠状动脉(图f)置入支架1枚
图2 造影剂脑病患者术后即刻头颅CT检查提示大脑镰(图a)和小脑幕(图b、c)箭头所指处可见高密度信号影,伴有轻度脑水肿
图3 造影剂脑病患者术后4 h的头颅MRI液体衰减反转恢复序列不同层面(图a~c)和弥散加权成像序列不同层面(图d~f)提示腔隙性脑梗死,余未见异常
图4 造影剂脑病患者术后14 h头颅CT检查提示大脑镰(图a)和小脑幕(图b、c)高密度信号影消失,恢复正常
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