Naito Hiroyuki, Naka Hiromitsu, Kanaya Yuhei, Yamazaki Yu, Tokinobu Hiroshi
Department of Neurology, Hiroshima Prefectural Hospital, Japan.
Intern Med. 2014;53(21):2533-7. doi: 10.2169/internalmedicine.53.2620. Epub 2014 Nov 1.
We herein report two cases of acute ischemic stroke associated with iron deficiency anemia (IDA) due to bleeding from uterine fibroids. Anemia is not generally recognized as a risk factor for stroke. The physiological mechanisms that may factor in the development of ischemic stroke in patients with IDA include thrombocytosis, hypercoagulable state, and anemic hypoxia. In our two cases, IDA was considered to be the cause of ischemic stroke because all other known causes of stroke were ruled out. In patients with ischemic stroke due to anemia, early treatment of the anemia is important to prevent stroke recurrence.
我们在此报告两例因子宫肌瘤出血导致缺铁性贫血（IDA）并发急性缺血性卒中的病例。贫血一般不被认为是卒中的危险因素。可能促使IDA患者发生缺血性卒中的生理机制包括血小板增多、高凝状态和贫血性缺氧。在我们的两例病例中，由于排除了所有其他已知的卒中病因，故认为IDA是缺血性卒中的病因。对于因贫血导致缺血性卒中的患者，早期治疗贫血对于预防卒中复发很重要。
