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自发性颈动脉内膜剥脱症的诊断与治疗进展
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Radiology
- Issue:
- 9
- DOI:
- 10.3760/cma.j.issn.1005-1201.2011.09.025
- Key Word:
- No keyword available
Abstract： 随着对自发性颈动脉内膜剥脱症（或自发性颈动脉夹层）( spontaneous carotid artery dissection，SCAD)认识的深入，发现SCAD是临床脑缺血发作和脑卒中的诱因之一，而在年轻的脑缺血或卒中患者中，SCAD是重要的危险因素。在没有外伤甚至是轻微外伤病史时，颈动脉内膜剥脱症被认为是自发性的。1.颈动脉内膜剥脱症的流行病学：1954年，Jentzer报道了第1例颈动脉内膜剥脱症，当时该病被认为是与纤维肌发育不良性囊性血管壁中层坏死及马凡综合征相关的动脉病。以后病例的不断增多，但大多数患者发病原因并不完全清楚，虽然有关于家族型发病的报道，但毕竞是少数病例[1]。
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