年轻女子剧烈头痛患上“烟雾病” Young woman suffering from severe headache“Moyamoya disease”

专家在直径不足一毫米的血管上缝了10针 Experts in diameter less than a millimeter blood vessels and received 10 needle

　　近日，一名年轻女子因剧烈头痛数天来东南大学附属中大医院查因，最后确诊是“烟雾病”，脑血管如同烟雾一样特别细。而医院神经外科医生在手术时采用高难度的颅内外血管吻合术，专家在显微镜下，在患者脑部直径不足1毫米的血管上缝了10针。目前，患者病情稳定，近日就可以康复出院。

recently，A young woman because violent headache for days to southeast university affiliated zhongda hospital for check，The last was confirmed“Moyamoya disease”，Cerebrovascular as smoke special fine。The hospital neurosurgeons in the operation of the difficult intracranial vascular anastomosis，Experts in the microscope，In patients with diameter of less than 1 mm brain blood vessels and received 10 needle。At present，Patients in stable condition，Recently can recover from the hospital。

剧烈头痛一周 一查患上“烟雾病” A week out from severe headache“Moyamoya disease”

　　年轻女子李小姐今年35岁，来自江苏盐城，最近一段时间来，她总是感觉肢体无力，头晕头痛剧烈，到当地医院检查头颅CT后，确诊是脑室内出血。家人急忙带患者来到中大医院神经外科进一步检查，行脑血管造影后，医生发现患者脑底部大血管完全闭塞，最终确诊是“烟雾病”。陈陆馗主任指出，烟雾病是一种临床上比较常见的脑血管病，血管如同烟雾一样特别细，患者容易缺血和出血。

Young woman miss li 35 years old this year，Yancheng from jiangsu，The most recent period，She always feel body weak，Dizzy headache severe，To the local hospital check after head CT，Diagnosis is intraventricular hemorrhage。Family hurriedly brought patients came to the hospital neurosurgery further examination，Line after cerebral angiogram，Doctors found a patient's brain bottom big vascular totally occluded，Final diagnosis is“Moyamoya disease”。Chen lu Kui director said，Smoke disease is a clinical more common cerebrovascular disease，Blood vessels as smoke special fine，Were easy to ischemia and bleeding。

　　据悉，对于“烟雾病”而言，目前没有特效的治疗方法，但是从临床多年的经验看，手术治疗效果明显优于药物治疗。

It is reported，for“Moyamoya disease”in，There is no miracle cure，But from clinical years of experience of watching，Surgical treatment effect significantly better than drugs。

专家在不足一毫米粗的血管上缝了10针 Experts in less than a millimeter thick blood vessels and received 10 needle

　　两周前，该院神经外科陈陆馗主任为患者施行了高难度的治疗烟雾病的手术，即血管搭桥手术，术中专家在显微镜下，在患者脑部不足1毫米的血管上缝了10针。专家介绍，手术中用的缝针、丝线及血管断端，即使在显微镜下，也需要仔细辨认才能看清，这种颅内血管吻合术要求十分精细，稍有不慎就容易出现吻合失败。据悉，整个手术过程进展顺利，历时5个小时左右。术后，患者病情明显好转。

Two weeks ago，The hospital neurosurgery Kui director Chen lu and for the treatment of patients with the difficult surgery moyamoya disease，Namely vascular bypass surgery，Intraoperative experts under the microscope，In patients with brain of less than one mm blood vessels and received 10 needle。experts，The stitches used in surgery、Silk thread and vascular cut ends，Even under a microscope，Also need to identify carefully to see，The intracranial vascular anastomosis demand is very fine，It is easy to appear carelessly a bit with failure。It is reported，The whole operation process is going well，Took five hours or so。postoperative，Patients condition improved obviously。

　　记者了解到，烟雾病是一种常见的脑血管病之一，主要是供应大脑半球的血管，即颈内动脉发生了闭塞，大脑处于缺血状态，大脑缺血后就会刺激大脑生长出许多新的小血管，在血管造影时的形态就像烟囱里冒出的袅袅炊烟，所以被形象地称为烟雾病。

The reporter understands，Smoke disease is a common one of cerebrovascular disease，Main is supply hemisphere of the blood vessels，That is the internal carotid artery occlusion occurred，Your brain ischemia state，After brain ischemia will stimulate brain growth out many new small blood vessels，In the form of angiography as the chimney emitted smoke from kitchen chimneys，So was the image of the called moyamoya disease。

高难度“血管吻合”能减轻病情 difficult“Vascular anastomosis”Can reduce illness

　　烟雾病主要发生在黄种人中，男性略少于女性，发病年龄有两个高峰，一是在10岁左右的儿童期，二是在30—40岁时的中年期，儿童期其主要症状以脑缺血为主，成人多为青中年期，多以急性颅内出血起病。由于烟雾病临床症状复杂多样，所以极易造成误诊或漏诊。患者可出现不同程度的偏瘫，或左右两侧相继出现瘫痪，可伴有失语、饮水呛咳、吞咽困难、智能减退、痴呆、癫痫发作、头痛以及短暂性脑缺血等。

Moyamoya disease mainly in yellow，Male a little less than women，Onset ages have two peak，One is around 10 years old of childhood，Second, in the age of 30, 40 of the middle age，The main symptoms childhood brain ischemia primarily，More QingZhongNian period for adults，More acute onset of intracranial bleeding in。Because moyamoya disease clinical symptoms are diverse and complex，So is caused extremely easily misdiagnosed or misdiagnosis。Patients can appear different degree of hemiplegia，Or on a left have paralysis，May be associated with aphasia、Water choke cough、Difficulty swallowing、Intelligence drops、dementia、seizures、Headache and transient ischemic, etc。

　　据悉，烟雾病目前发生的原因还不清楚，也没有理想的药物治疗方法。专家介绍，目前认为颅内外血管吻合术、脑—肌—血管联合术等手术重建，是对烟雾病效果较好的手术治疗。(崔玉艳 杨甜子)

It is reported，Moyamoya disease cause of the current is not clear，And no ideal drug treatment。experts，Intracranial vascular anastomosis now think outside、Brain-muscle-blood vessels such as joint surgery surgical reconstruction，Is with better effect of moyamoya disease surgery。(CuiYuYan Yang sweet son)