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目的提高临床医生对双侧丘脑梗死的诊断意识。方法回顾性描述1例双侧丘脑梗死患者的临床表现、诊疗经过,结合文献报道对双侧丘脑梗死的发病机制、临床表现、诊疗进行探讨。结果患者为老年女性,以突发意识障碍急性起病,既往有房颤和糖尿病病史。头颅CT证实双侧丘脑新发脑梗死。经抗凝、降糖、促醒等对症处理后,其意识水平无明显变化。结论突发意识障碍的具有多种脑卒中危险因素患者应注意与双侧丘脑梗死鉴别,以便尽早干预治疗,改善预后。
Objective To improve clinicians’ awareness of bilateral diagnosis of thalamic infarction. Methods The clinical manifestations, diagnosis and treatment of one case of bilateral thalamic infarction were retrospectively reviewed. The pathogenesis, clinical manifestation and diagnosis and treatment of bilateral thalamic infarction were discussed in the literature. Results The patients were elderly women, with acute onset of sudden disturbance of consciousness, previous history of atrial fibrillation and diabetes. Head CT confirmed bilateral thalamic brain infarction. After anticoagulant, hypoglycemic, arousal and other symptomatic treatment, the level of consciousness no significant change. Conclusions Patients with various risk factors of stroke who have sudden disturbance of consciousness should pay attention to the differential diagnosis of bilateral thalamic infarction in order to make early intervention and improve the prognosis.