国内首例横突孔内椎动脉搭桥术

• 作 者: 潘万秋
• 出 处: 医学研究通讯
• 发表日期: 1986年08期
• 关键词: 横突孔 搭桥术 椎动脉 角膜反射 咽反射 左侧椎动脉 构音困难 脑干缺血 颈椎体 眼震

贵阳医学院附属医院为一例患脑干缺血三年曾先后在一些医院治疗无效的病人成功地完成了横突孔内椎动脉搭桥术。经检查发现,病人左侧椎动脉自起始端至第五颈椎体水平一段闭塞,引起脑干严重缺血,主要症状为角膜反射及咽反射消失、吞咽困难,四肢肌张力增强、双踝关节阵挛、共济运动障碍、双眼不能上视,并有水平垂直眼震、构音困难、说话声很小、不能下床及活动。施行横突孔内椎动脉、颈总动脉搭桥

Guiyang Medical College Affiliated Hospital of a case of brain stem ischemia has been in some hospitals for three years has been ineffective in patients with successful completion of the transverse process of intra-vertebral artery bypass. The examination found that the patient’s left vertebral artery from the beginning to the fifth cervical vertebral body block for a period of time, causing severe ischemia of the brainstem, the main symptoms of corneal reflex and pharyngeal reflex, dysphagia, limb muscle tension, double ankle joint Myositis, ataxia disorders, the eyes can not be on, and horizontal and vertical nystagmus, dysarthria, voice is very small, can not get out of bed and activities. Perforation of the vertebral artery, common carotid artery bypass