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短暂性脑缺血发作发展至脑梗死的分析
作者: 傅毅 孙家兰 郭正良 孙鑑 辛晓瑜 朱立菁 吴导琦 宋永建 陈生弟 FU Yi SUN Jialan GUO Zhengliang SUN Jian XIN Xiaoyu ZHU Lijing WU Daoqi SONG Yongjian CHEN Shengdi.Department of Neurology Ruijin Hospital Shanghai Jiaotong University School of Medicine 197 Ruijin Road Ⅱ Shanghai 200025
单位:上海交通大学医学院附属瑞金医院神经内科、上海交通大学医学院神经病学研究所; 上海市公利医院神经内科; 上海交通大学医学院附属瑞金医院神经内科、上海交通大学医学院神经病学研究所 (上海200025); (上海200025);
关键词: 短暂性脑缺血发作 脑梗死 相关因素
分类号:
出版年·卷·期(页码):2008·34·第 3 期(0-0)
摘要:
目的分析短暂性脑缺血发作(TIA)发展至脑梗死的相关因素。方法回顾性分析60例住院的TIA发展至脑梗死患者的临床资料,其中男36例(60.0%),女24例(40.0%),年龄44~87岁,平均(67±12)岁。本组患者最近1次TIA发展至脑梗死均在7d内发生。结果按照"ABCD"评分1~2分、3~4分和5~6分为3组,进行脑梗死发病时血压、血糖、血脂和表达患者残损程度的NIHSS评分的比较,显示3组之间各项指标的差异无统计学意义(P>0.05);颈内动脉系统TIA发生脑梗死和椎-基底动脉系统TIA发生脑梗死之间的性别、年龄、颈动脉斑块、脑梗死家族史、入院时的NIHSS评分的差异无统计学意义(P>0.05)。结论"ABCD"评分法虽然能够识别TIA后有无近期脑梗死的危险,但是该评分的高低可能与血压、血糖、血脂和表达患者残损程度的NIHSS评分无直接相关;颈内动脉系统和椎-基底动脉系统之间某些脑梗死相关因素的差异可能没有明显的差别。
Objective To investigate the relationship between transient ischemic attack(TIA)and cerebral infarction.Methods The clinical data of 60 hospitalized cerebral infarction patients resulting from TIA were analyzed retrospectively.Thirty-six of 60 cases were males(60.0%)and 24 were females(40.0%).Age ranged from 44 years to 87 years.The mean age was(67±12)years.The time interval between latest TIA and infarction was within 7 days.Results The patients were divided into 3 groups according to "ABCD" score with the...
参考文献:

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