感染性心内膜炎致急性出血性脑梗死1例

doi:10.3969/j.issn.1004-583X.2021.01.014

临床荟萃 ›› 2021, Vol. 36 ›› Issue (1): 66-69.doi: 10.3969/j.issn.1004-583X.2021.01.014

感染性心内膜炎致急性出血性脑梗死1例

吝娜^1a, 刘川^1a, 吴天宇^1b, 曹磊²()

1.石家庄华药医院 a.神经内二科;b.骨科,河北石家庄 050000
2.河北医科大学第三医院放射科,河北石家庄 050051

收稿日期:2020-05-14 出版日期:2021-01-20 发布日期:2021-01-16
通讯作者: 曹磊 E-mail:cao_lei1988@163.com

A case of acute hemorrhagic cerebral infarction caused by infective endocarditis

Lin Na^1a, Liu Chuan^1a, Wu Tianyu^1b, Cao Lei²()

1a. Department of Neurology, b.Department of Orthopaedics, Shijiazhuang Huayao Hospital, Shijiazhuang 050000, China
2. Department of Radiology, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China

Received:2020-05-14 Online:2021-01-20 Published:2021-01-16
Contact: Cao Lei E-mail:cao_lei1988@163.com

摘要/Abstract

摘要：

感染性心内膜炎相关脑卒中临床少见、致死率较高,病程特点及影像学不典型,临床认识不足,易造成误诊误治,导致不良预后。本文报道了1例感染性心内膜炎并发出血性脑梗死,旨在提高临床医师对感染性心内膜炎并发脑卒中的认知,早期针对性治疗,可改善预后。

关键词: 心内膜炎, 细菌性, 脑梗死, 脑出血

Abstract:

Infective endocarditis related stroke is clinically rare and has high mortality rate, atypical course and imaging. Due to the lack of clinical understanding, it is easy to cause misdiagnosis and mistreatment, followed by poor prognosis. This paper reports a case of infective endocarditis with hemorrhagic cerebral infarction. The purpose is to improve the clinicians' cognition of this disease, in order to give patients early targeted treatment and improve their prognosis.

Key words: endocarditis, bacterial, brain infarction, cerebral hemorrhage

中图分类号:

R542.42

吝娜, 刘川, 吴天宇, 曹磊. 感染性心内膜炎致急性出血性脑梗死1例[J]. 临床荟萃, 2021, 36(1): 66-69.

Lin Na, Liu Chuan, Wu Tianyu, Cao Lei. A case of acute hemorrhagic cerebral infarction caused by infective endocarditis[J]. Clinical Focus, 2021, 36(1): 66-69.

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链接本文: https://huicui.hebmu.edu.cn/CN/10.3969/j.issn.1004-583X.2021.01.014

https://huicui.hebmu.edu.cn/CN/Y2021/V36/I1/66

图/表 5

图1 头颅CT显示左侧外侧裂大脑中动脉高密度栓子影

图2 头颅CT显示右侧枕叶稍高密度影,考虑脑出血

图3 头颅CT显示左侧颞顶叶片状低密度影,考虑新发脑梗死,其旁可见结节样高密度栓子影

图4 心脏超声示二尖瓣前叶左房侧米粒样高回声(箭头),考虑赘生物

图5 头颅CT显示左颢叶梗死灶内高密度影,考虑出血

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感染性心内膜炎致急性出血性脑梗死1例

A case of acute hemorrhagic cerebral infarction caused by infective endocarditis

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