缺血性脑血管病合并原发性高血压患者的全脑DSA结果分析

摘要

Objective To determine the cause of smear positive patients of pulmonary tuberculosis. Methods 351 cases and Mycobacterium tuberculosis isolates were collected from the smear positive pulmonary tuberculosis patients of Anhui province. 249 cases were cured and follow up 2 years. MTB of relapse of smear positive cases were collected and obtained the genotyped by spoligotyping and MIRU.Results 5 mycobacterium tuberculosis isolates of patients relapse show 3 cases were re - infection and 2 cases were reactivation. Conclusion Re - infection and reactivation were cause of relapse of TB in Anhui province, China.%目的 探讨缺血性脑血管病合并原发性高血压数字减影全脑血管造影(DSA)的检查结果及临床意义.方法 对88例高血压合并缺血性脑血管病患者和45例无高血压的缺血性脑血管病患者进行DSA检查,观察和评价颅内外血管病变的直接征象并分析影像结果.结果 高血压组检出颅内外动脉狭窄病变者86例(97.7%),共累及血管319支(平均3.6支/人),以颈内动脉狭窄为主117支(36.7%),大脑中动脉狭窄66支(20.8%),椎动脉狭窄65支(20.3%);颅外动脉狭窄140支(43.9%),颅内动脉狭窄179支(56.1%).高血压组脑血管狭窄支数及狭窄程度积分,与非高血压组相比有明显差异,高龄者尤其明显.结论 高血压患者脑血管狭窄病变支数更多、程度更重,且颅内动脉狭窄多于颅外动脉;原发性高血压和高龄是缺血性脑血管病的重要危险因素.