| 短暂性脑缺血发作后短期内发生脑梗死的风险分析 |
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| 引用本文： | 王志红,刘宏顺,芮汉臣,夏红.短暂性脑缺血发作后短期内发生脑梗死的风险分析[J].中风与神经疾病杂志,2010,27(8). |
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| 作者姓名： | 王志红 刘宏顺 芮汉臣 夏红 |
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| 作者单位： | 河北医科大学第二医院神经内科,河北,石家庄050000 |
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| 摘 要： | 目的分析ABCD2评分结合MRA对短暂性脑缺血发作(TIA)后7~30d脑梗死发生的评估价值。方法以2008年12月~2009年10月住院的TIA患者为研究对象,收集其临床资料和磁共振血管成像(MRA)检查结果,按Johnston提出的7分"ABCD2"评分法给予评分,随访TIA后7d和30d内脑梗死的发生率,并分析"AB-CD2"评分、MRA与TIA后短期内发生脑梗死的关系。结果 50例(42.0%)TIA患者于30d内发生脑梗死,其中29例(24.4%)发生于7d内;"ABCD2"评分与TIA后7d和30d脑梗死发生率之间呈直线相关,"ABCD2"评分越高,脑梗死的发生率越高(P0.001);TIA后7d和30d颅内动脉狭窄≥50%的患者中脑梗死发生率比50%的患者明显增高(P0.05)。结论 "ABCD2"评分法对TIA后脑梗死发生有预测价值,"ABCD2"评分结合MRA检查能进一步提高预测的准确性。
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| 关 键 词： | 短暂性脑缺血发作 脑梗死 危险因素 磁共振血管成像 |
Analysis risk factors of cerebral infarction resulting from transient ischemic attack |
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| WANG Zhi-hong,LIU Hong-shun,Rui Han-chen,et al..Analysis risk factors of cerebral infarction resulting from transient ischemic attack[J].Journal of Apoplexy and Nervous Diseases,2010,27(8). |
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| Authors: | WANG Zhi-hong LIU Hong-shun Rui Han-chen |
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| Institution: | WANG Zhi-hong,LIU Hong-shun,Rui Han-chen,et al.(Department of Neurology,Second Hospital of HeBei Medical University,Shijiazhuang 050000,China) |
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| Abstract: | Objective To investigate the ability of ABCD2score combination with MRA in predicting cerebral infarction of transient ischemic attack(TIA) patients during 7~30 days after onset.Methods The clinical data and magnetic resonance angiography(MRA) findings of hospitalized TIA from December 2008 to October 2009 were analyzed.The ABCD2score was applied to all the patients.The 7 day and 30 day risk of cerebral infarction were analyzed.Results A total of 50(42.0%) patients had cerebral infarction within 30 days aft... |
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| Keywords: | Transient ischemic attack Cerebral infarction Risk factors Magnetic resonance angiography |
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