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一些临床观察发现,炎性肠道疾病可能导致血栓栓塞并发症。特别是在疾病的急性期。大量的研究表明,炎性肠道疾病患者血栓栓塞并发症的发病率为1.3%～6.4%。本文报告两例。例1。患者:31岁男性,因腹部痉挛性疼痛和血性腹泻1周入院。结肠镜示结肠和直肠炎症,结肠活检证实了溃疡性结肠炎之诊断。因病情严重,故给予柳氮磺胺吡啶(Sul-fasalazine)加皮质激素治疗。住院7天后,病人突然右侧偏瘫,头颅CT 扫描证实为左内囊新的缺血梗塞和左基底节陈旧性缺血损害。一年后,左侧颈动脉造影显示左侧颈动脉起始端不完全性闭塞。患者有短暂右侧偏瘫病史10年,当时头颅CT 扫描和颈动脉
Some clinical observations have found that inflammatory bowel disease may lead to thromboembolic complications. Especially in the acute phase of the disease. Numerous studies have shown that the incidence of thromboembolic complications in patients with inflammatory bowel disease is 1.3% ~ 6.4%. This article reports two cases. example 1. Patient: A 31-year-old man hospitalized for 1 week because of spastic abdominal pain and bloody diarrhea. Colonoscopy shows inflammation of the colon and rectum, and colon biopsy confirms the diagnosis of ulcerative colitis. Due to serious illness, it was given sulfasalazine (Sul-fasalazine) plus corticosteroids. Seven days after hospitalization, the patient suddenly had a right hemiplegia and a cranial CT scan confirmed a new ischemic infarct in the left internal capsule and old ischemic damage in the left basal ganglia. One year later, the left carotid artery angiography showed incomplete occlusion at the beginning of the left carotid artery. Patients had a transient right hemiplegia for a 10-year history when CT scans and carotid arteries were taken