采用静脉溶栓疗法同时治疗缺血性肠病和缺血性中风。
Simultaneous treatment of ischaemic bowel and ischaemic stroke with intravenous thrombolysis therapy.
作者信息
Chen Lucia Y, Ainscough Charlotte, Sayed Mohamed, Bhargava Maneesh
机构信息
Hyper-acute stroke unit, University College London Hospitals NHS Foundation Trust, London, UK.
出版信息
BMJ Case Rep. 2018 Nov 28;11(1):e227126. doi: 10.1136/bcr-2018-227126.
Novel treatment of simultaneous mesenteric and cerebral ischaemia with systemic thrombolysis. A 75-year-old man presented to the acute stroke team with aphasia, right-sided weakness and distressed with a pain he was unable to localise. He was treated with intravenous thrombolysis with tissue plasminogen activator for a left middle cerebral artery stroke. Decompensation on the ward during thrombolysis with worsening abdominal distension and pain, hypotension and tachycardia prompted a CT angiogram scan, which displayed proximal inferior mesenteric artery occlusion. Thrombolysis treatment resulted in excellent improvement of both his dysphasia and weakness from the left cerebral ischaemic stroke and reperfusion of the ischaemic bowel, without surgical intervention.
全身溶栓治疗同时性肠系膜缺血和脑缺血的新方法。一名75岁男性因失语、右侧肢体无力就诊于急性卒中团队，同时伴有一处无法定位的疼痛，令其十分痛苦。他因左侧大脑中动脉卒中接受了组织型纤溶酶原激活剂静脉溶栓治疗。溶栓过程中，患者在病房病情恶化，腹胀和疼痛加剧，出现低血压和心动过速，遂进行CT血管造影扫描，结果显示肠系膜下动脉近端闭塞。溶栓治疗使他因左侧脑缺血性卒中导致的言语困难和肢体无力均得到显著改善，且缺血肠段实现再灌注，无需手术干预。
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