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椎-基底动脉系统短暂性脑缺血发作97例临床分析
引用本文:张金霞. 椎-基底动脉系统短暂性脑缺血发作97例临床分析[J]. 神经损伤与功能重建, 2006, 1(3): 147-148
作者姓名:张金霞
作者单位:抚顺矿务局医院神经内科,辽宁抚顺113008
摘    要:
目的:探讨椎-基底动脉系统短暂性脑缺血发作(TIA)的临床特点和治疗方法。方法:回顾性分析97例椎-基底动脉系统TIA患者的临床资料及治疗方法。结果:高血压病、动脉粥样硬化、糖尿病、颈椎病等为椎-基底动脉系统TIA的常见原因;眩晕、平衡障碍及共济失调是其常见表现;跌倒发作、短暂性全面性遗忘及双眼视力障碍是其特征性症状;意识障碍是其严重表现。经过1周-1个月相应药物治疗,47例(48.4%)完全缓解,24例(24.7%)部分缓解,11例(11.3%)无效,15例(15.4%)恶化发展为梗死,其中4例(4.1%)死亡。结论:椎-基底动脉系统TIA具有易复发、易加重的特点,临床医师应掌握其临床表现,尽早完全或部分地控制其发作与进展。

关 键 词:椎-基底动脉系统  短暂性脑缺血发作  脑血管病
文章编号:1001-117X(2006)03-0147-02
收稿时间:2006-03-28
修稿时间:2006-03-28

Clinical Analysis of 97 Cases with Transient Ischemic Attacks of the Vertebro-basilar System
ZHANG Jin-xia. Clinical Analysis of 97 Cases with Transient Ischemic Attacks of the Vertebro-basilar System[J]. Neural Injury and Functional Reconstruction, 2006, 1(3): 147-148
Authors:ZHANG Jin-xia
Affiliation:Department of Neurology, Fushun General Hospital of Coal Mine Bureau Liaoning, Fushun 113008,China
Abstract:
Objective: To evaluate the anatomical basis,clinical features of transient ischemic attacks(TIA) of the vertebro-basilar system.Methods: Clinical data of 97 cases with TIA of the vertebro-basilar system were retrospectively analyzed.Results: Out of 97 cases,47 patients(48.4%) experienced no attacks any more;24 cases(24.7%) had reduced number of attacks;11(11.3%) remained unchanged;15(15.4%) developed cerebral infarction;and 4 cases(4.1%) died.Conclusion:TIA of the vertebro-basilar system is clinically characterized by recurrent episodes,tendency to deteriorate and unsatisfactory prognosis.
Keywords:vertebral artery  transient ischemic attack(TIA)  cerebrovascular disease
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