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溃疡性结肠炎并发脑血管栓塞者罕见,本文报告三例。例1,男,12岁。因腹泻,经乙状结肠镜和钡灌肠检查,诊断为溃疡性结肠炎,用强的松和水杨酰偶氮磺胺吡啶(Salylazosulfapyridine)治疗。三个月后,病情恶化,出现左侧肢体局灶性抽搐,继而左侧中枢性面瘫和左侧偏瘫,腱反射亢进。无心内膜炎和脱水征,左下腹有压痛,右下肢曾2次发作血栓性静脉炎。血液和脑脊液检查正常,心电图正常,脑电图示右后颞和顶区持续慢波。一年后死于重度脱水和缺钾所引起的心源性休克。
Ulcerative colitis complicated with cerebrovascular embolism are rare, this article reports three cases. Example 1, male, 12 years old. Due to diarrhea, sigmoidoscopy and barium enema examination, the diagnosis of ulcerative colitis, with prednisone and salicylazosulfapyridine (Salylazosulfapyridine) treatment. Three months later, his condition deteriorated with focal convulsions on the left limb, followed by left central paralysis and left hemiplegia, and tendon hyperreflexia. No endocarditis and dehydration sign, left lower quadrant tenderness, right leg has 2 episodes of thrombophlebitis. Normal blood and cerebrospinal fluid tests, normal ECG, EEG and right temporal and parietal sustained slow wave. One year later died of cardiogenic shock caused by severe dehydration and potassium deficiency.