6例锁骨下动脉盗血综合征临床资料分析

Analysis of clinical data in 6 patients with subclavian steal syndrome

目的探讨锁骨下盗血综合征(SSS)的临床特点和血管内介入治疗疗效。方法回顾分析6例SSS的临床资料。结果6例患者因头晕症状就诊5例,双上肢脉压差均大于20 mmHg;6例患者于狭窄同侧的锁骨上窝均可闻及收缩期血管杂音;3例患者接受血管内介入治疗后症状改善明显。结论双上肢血压测量及血管杂音听诊有利于SSS的识别,而血管介入治疗是其有效的治疗措施。

Objective To investigate the clinical characteristics of subclavian steal syndrome and the effect of the vascular interven- tional therapy. Methods Clinical data of 6 patients with subclavian steal syndrome were retrospectively analyed. Results Among 6 pa- tients, dizziness was the main symptoms in 5 people, whose bilateral upper-limb pulse pressures were above 20 mmHg. Stenosis systolic mur- murs of ipsilateral supraclavicular fossae could be heard in all patients. Above all, dizzy symptoms of 3 patients among them were significantly improved after endovaseular interventional therapy. Conclusion Bilateral upper-limb pulse pressures and auscultation of vascular murmurs are particularly important in diagnosing subclavian steal syndrome. Endovascular interventional therapy will make the treatment for subclavian steal syndrome more effectively.