| 短暂性脑缺血发作患者短期发生脑梗死的危险因素 |
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| 引用本文： | 李明军,李谧.短暂性脑缺血发作患者短期发生脑梗死的危险因素[J].中国医药指南,2012,10(10):585-586. |
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| 作者姓名： | 李明军 李谧 |
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| 作者单位： | 河南省邓州市第一人民医院,河南邓州,474150 |
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| 摘 要： | 目的观察分析短暂性脑缺血发作(TIA)患者7d和30d内进展为脑梗死的危险因素。方法以79例TIA为观察对象,收集其临床资料,并按Johnston提出的7分"ABCD2"评分法给予评分,随方TIA患者7d和30d内脑梗死的发生率。结果 TIA发生后29例(36.7%)患者于30d内发生脑梗死,其中18例(22.8%)发生于7d内。"ABCD2"评分≥4分是TIA后发生脑梗死独立危险因素。结论 "ABCD2"评分多的TIA患者短期内脑梗死的发生危险性较高,抗凝治疗可使TIA患者降低脑梗死发生风险。
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| 关 键 词： | 短暂性脑缺血 脑梗死 “ABCD2”评分 危险因素 |
The Risk Factors of Short-term for Cerebral Infarction about Patients of Transient Ischemic |
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| LI Ming
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LI Mi.The Risk Factors of Short-term for Cerebral Infarction about Patients of Transient Ischemic[J].Guide of China Medicine,2012,10(10):585-586. |
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| Authors: | LI Ming LI Mi |
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| Institution: | LI Ming,LI Mi(Dengzhou First People＇s Hospital,Dengzhou 474150,China) |
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| Abstract: | Objective To investigate the risk factors influenting transient ischemic attack（TIA）to evolve into cerebral infarction in 7day and 30day.Methods To observe 79 cases of TIA,and to collect clinical data,accorded to the Johnston＇s 7 points ＂ABCD2＂ scoring a given value,with the parties within 30 days of TIA patients for 7 days and the incidence of cerebral infarction.Results TIA occurred in 29 cases（36.7%） patients with cerebral infarction at 30 days,18 patients（22.8%） occurred within 7 days.＂ABCD2＂ score≥4 points after TIA is an independent risk factor for cerebral infarction.Conclusion The higher of ＂ABCD2＂ score,the higher of the risk TIA patients with short-term of cerebral infarction.Anticoagulant therapy in patients with TIA can reduce the risk of cerebral infarction. |
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| Keywords: | Transient ischemic Cerebral Infarction The ABCD2 score Risk factors |
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