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中华脑血管病杂志(电子版) ›› 2026, Vol. 20 ›› Issue (02) : 220 -224. doi: 10.3877/cma.j.issn.1673-9248.2026.02.016

病例报告

混合型脑微出血抗血小板治疗的病例报告及文献复习
杨光辉1, 张杰丛2,3,4,5, 白羽希2,3,4,5, 杨金波1, 张聪2,3,4,5,()   
  1. 1 055250 河北邢台,邢台市第九医院神经内科
    2 050000 河北石家庄,河北医科大学第二医院神经内科
    3 050000 河北石家庄,临床神经病学教育部重点实验室
    4 050000 河北石家庄,河北省血管稳态重点实验室,河北省心脑血管病防治协同创新中心
    5 050000 河北石家庄,河北省中医药管理局中药药效物质筛选与转化重点研究室
  • 收稿日期:2025-11-15 出版日期:2026-04-01
  • 通信作者: 张聪
  • 基金资助:
    国家自然科学基金(82271366); 石家庄驻冀高校产学研重大科技专项(2512002207A)

Antiplatelet therapy for mixed cerebral microbleeds: a case report and literature review

Guanghui Yang, Jiecong Zhang, Yuxi Bai   

  • Received:2025-11-15 Published:2026-04-01
引用本文:

杨光辉, 张杰丛, 白羽希, 杨金波, 张聪. 混合型脑微出血抗血小板治疗的病例报告及文献复习[J/OL]. 中华脑血管病杂志(电子版), 2026, 20(02): 220-224.

Guanghui Yang, Jiecong Zhang, Yuxi Bai. Antiplatelet therapy for mixed cerebral microbleeds: a case report and literature review[J/OL]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2026, 20(02): 220-224.

图1 患者头颅磁共振成像(MRI)+弥散加权成像(DWI)+磁共振血管成像(MRA)+磁敏感加权成像(SWI)的影像学资料。图a为T1加权成像(T1WI);图b为T2加权成像(T2WI);图c为液体衰减反转恢复序列(FLAIR);图a~c示双侧小脑、脑干、双侧基底节区、丘脑、侧脑室旁、半卵圆中心、胼胝体、双侧额叶、顶叶、枕叶可见多发斑片状及斑点状等/低T1WI信号、T2WI高信号、高/等/低FLAIR信号,部分边缘模糊;双侧小脑、脑干、双侧基底节区、丘脑、右侧枕叶及顶叶可见多发斑点状及条状T2WI低信号;双侧额叶、颞叶、右侧顶叶可见多发斑片状FLAIR高信号,边缘欠清;双侧侧脑室旁脑白质内可见晕片状高FLAIR信号,边界不清;图d为DWI,示脑实质内未见明显弥散受限高信号;图e为SWI,示脑实质内(双侧小脑、脑干、双侧基底节、丘脑、侧脑室旁、额叶、顶叶、枕叶、颞叶)可见多发斑点状及结节状低信号,部分病变可见局限性高信号,相位图低信号,部分病变高/低信号;图f为MRA,示颅内动脉符合动脉硬化表现
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