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壮汉中风偏瘫失语竟因“心眼”大

2017-08-28 06:06:48   中国青年网

本报讯(记者伍伟 通讯员马遥遥)35岁的方先生一周前突然偏瘫失语,在医院被诊断为缺血性脑中风。然而他从不抽烟喝酒也没有“三高”病史,怎么会突然中风?

家住后湖的方先生,平时喜欢健身长得很壮实,是朋友和同事间公认的“型男”,生活习惯也很好,不抽烟,不喝酒,饮食作息规律,在每年单位例行体检中也未发现异常。一周前,方先生在家中突然倒地,右侧肢体无法动弹,话也说不清楚,随后家人赶紧将他送往了武汉市中心医院后湖院区。

在医院,检查发现方先生因脑梗导致了缺血性脑中风,通过及时治疗神经内科医生用微创手术取出了血栓。术后,方先生不理解,觉得中风大多是老年人的病,且自己一向身体健康也没有不良生活习惯和“三高”病史,怎么就中风了?随后的检查也证实,他血压、血脂、血糖、风湿因子和同型半胱氨酸等各项指标都很正常,也没有中风家族史。在做了经食道超声心动图检查后,发现方先生心脏卵圆孔未闭,这个未闭合的“心眼”,正是导致他脑梗的“罪魁祸首”。

心脏大血管外科主任尚玉强解释,卵圆孔是存在于左右心房间隔中部的裂隙,是胎儿存活必需的血液供给通道。多能在1岁后闭合,3岁以上卵圆孔仍未闭合者称为“卵圆孔未闭”。有文献指出,我国“卵圆孔未闭”人群占到总人口数的30%。当静脉系统中的栓子经过这个未闭的空洞进入动脉后就会运行到比栓子直径小的脑动脉血管中,一旦堵塞,便可导致脑梗塞中风。

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