中文科技期刊数据库（全文版）医药卫生2124例急性桥臂梗死临床分析李艳丽张晋霞（通讯作者）华北理工大学附属医院神经内科，河北唐山063000摘要：目的分析急性桥臂梗死的临床特征、危险因素及影像特点、预后，探究桥臂梗死的病因及发病机制，增强对桥臂梗死早期识别，判断预后。方法回顾性纳入2019年1月-2022年6月于华北理工大学附属医院神经内科一三病区收住院的24例急性桥臂梗死患者的临床资料，将影像学表现与临床线索相关联，并复习相关文献。结果本组病例为急性起病，临床表现主要包括眩晕、复视、听力下降、中枢性或周围性面瘫、构音欠清、行走不稳，部分表现为嗜睡。头颅MRI主要表现为累及桥臂的伴或不伴其他区域的长T1WI、长T2WI、DWI高信号、ADC低信号的梗死灶。头MRA主要表现椎动脉或基底动脉的狭窄或闭塞。经治疗后11例进展，1例死亡，余病例预后相对较好。结论桥臂梗死多急性起病，多合并其它部位梗死，临床症状复杂，病因以大动脉粥样硬化型多见，病情容易进展加重，经积极治疗预后相对良好。关键词：桥臂梗死；小脑前下动脉；小脑前下动脉综合征；病因中图分类号：R74Clinicalanalysisof24casesofacutepontinebrachialinfarctionLIYanliZHANGJinxia(correspondingauthor)DepartmentofNeurology,AffiliatedHospitalofNorthChinaUniversityofTechnology,HebeiTangshan063000Abstract:Objective:Toanalyzetheclinicalfeatures,riskfactors,imagingfeaturesandprognosisofacutepontinebrachialinfarction,exploretheetiologyandpathogenesisofpontinebrachialinfarction,enhancetheearlyrecognitionofpontinebrachialinfarctionandjudgetheprognosis.Methods:theclinicaldataof24patientswithacutepontinearminfarctionadmittedtothefirstandthirdwardoftheDepartmentofNeurologyoftheAffiliatedHospitalofNorthChinaUniversityoftechnologyfromJanuary2019toJune2022wereretrospectivelyincluded.Theimagingfindingswerecorrelatedwithclinicalclues,andtherelevantliteraturewasreviewed.Results:thisgroupofpatientshadacuteonset.Theclinicalmanifestationsmainlyincludedvertigo,diplopia,hearingloss,centralorperipheralfacialparalysis,uncleararticulation,unstablewalking,andsomeofthemwerelethargy.MRIoftheheadmainlyshowedinfarctionfociinvolvingthepontinearmwithorwithoutlongT1WI,longT2WI,highDWIsignalandlowADCsign...
