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本文报道两例可能因肾病综合征而处于高凝状态的脑梗塞年轻男性患者。病例1,21岁,因右侧肢体突然乏力、头痛而入院。2年前,诊断为肾病综合症,使用过类固醇药物。肾组织活检示有微小损伤。患者每天吸烟半包已3年余。入院时,右侧轻偏瘫,同侧偏盲、感觉减退。首次脑 CT 正常,2周后复查示基底神经节有一低密度区,内囊边缘不规则增强。脑动脉造影示左颈内动脉栓塞(离分叉处不远),并有来自右侧的侧支循环。血
This article reports two cases of young men with cerebral infarction that may be hypercoagulable due to nephrotic syndrome. Cases 1,21 years old, due to a sudden weakness of the right limbs, headache and admission. Two years ago, the diagnosis of nephrotic syndrome, the use of steroid drugs. Kidney biopsy showed minor damage. Patients have half a pack of smoking a day more than 3 years. Admission, the right hemiparesis, ipsilateral hemianopia, feeling diminished. For the first time, brain CT was normal. After 2 weeks, it showed that the basal ganglia had a low density area and the edge of the internal capsule was irregularly enhanced. Cerebral arteriography showed left internal carotid artery embolization (not far from the bifurcation) and collateral circulation from the right side. blood