老年人短暂脑缺血发作189例临床分析

目的:探讨老年人短暂性脑缺血发作的危险因素、临床特点,为临床诊疗提供依据.方法:对189例60岁以上短暂性脑缺血发作患者临床表现、血生化指标、心电图、颈动脉彩色超声、脑血管多普勒、影像学特点及短期预后进行分析.结果:老年人短暂性脑缺血发作患者高血压、高脂血症、糖尿病、心电图异常及颈动脉粥样硬化斑块、颅内颈内动脉系统和椎基底动脉系统病变检出率均较高.另外,运动少、肥胖、嗜烟酒者较多.短暂性脑缺血发作持续1 h以内最多,超过1 h脑梗死发生率较高.结论:老年人短暂性脑缺血发作有较多的危险因素.发作时间超过1 h应引起临床医生的重视,警惕脑梗死发生.

Clinical analysis on elderly transient ischemic attack in 189 cases

Objective:To research the risk factors,clinical features of elderly transient ischemic attack(TIA) to provide basis for clinical diagnosis and treatment.Methods:189 cases of TIA aged more than 60-year-old were analyzed on their clinical features,blood biochemical indexes,EKG,color ultrasound images of carotid artery,transcranial Doppler(TCD),medical imageological features and short-term prognosis.Results:Elderly TIA had the higher detection rate of hypertension,hyperlipoidemia,diabetes,electrocardiographic ...