小卒中的临床研究现状

近年来,关于小卒中的讨论日渐热烈,而对于其定义却尚不明确。本文总结发现小卒中与短暂脑缺血发作相比,虽然两者危险因素及临床表现均相似,但小卒中的预后较差。通过对其病理基础和影像学表现的分析,发现小卒中反复再发可能导致神经心理方面的不良预后。因此,应在急性期积极治疗小卒中患者,尽早启动脑卒中二级预防减少脑卒中的再发。

Recent Clinical Advances of Minor Stroke

In recent years,the concept of minor stroke has become a hot topic,while its definition has not been unclear.In a comparison of risk factors and prognosis for transient ischemic attacks（TIA） and minor stroke,patients with minor stroke had greater risk of either dying or having recurrent stroke than those with transient ischemic attacks,even with similarity of the prevalence of vascular disease and risk factors in the two groups.Recurrent events and poor outcomes were related to their pathology and imaging.Patients of minor stroke should be treated seriously during the acute phase,and the prevention of stroke should be started as soon as possible to avoid recurrence.