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ABCD2评分结合头颈CTA对短暂性脑缺血发作后近期发生脑梗死的评估价值
引用本文:朱英标,卢丽萍. ABCD2评分结合头颈CTA对短暂性脑缺血发作后近期发生脑梗死的评估价值[J]. 中国临床神经科学, 2011, 19(6): 611-615
作者姓名:朱英标  卢丽萍
作者单位:浙江省丽水市人民医院神经内科,323000
摘    要:目的:分析ABCD2评分结合头颈CT血管成像(CTA)表现对短暂性脑缺血发作(TIA)后7 d患者发生脑梗死的评估价值。方法:以2008年12月至2011年3月住院的120例TIA患者为研究对象,收集相关资料并进行率的χ2检验。结果:31/120例(25.83%)患者在TIA后7 d内发生脑梗死。ABCD2评分≥6分为高危组,ABCD2评分4~5分为中危组,ABCD2评分≤3分为低危组。TIA后7 d脑梗死发生率,CTA颅内外动脉狭窄≥50%的患者中与〈50%的患者相比明显增高(P〈0.01)。结论:ABCD2评分法预测7 d发生脑梗死风险的准确性较高,进一步结合CTA检查能提高预测的准确性。

关 键 词:短暂性脑缺血发作  脑梗死  ABCD2评分  CT血管成像  危险因素

The Value of Combined ABCD2 Score and CTA in Evaluating Cerebral Infarction after Transient Ischemic Attack in the Near Future
ZHU Ying-Biao,LU Li-Ping. The Value of Combined ABCD2 Score and CTA in Evaluating Cerebral Infarction after Transient Ischemic Attack in the Near Future[J]. Chinese Journal of Clinical Neurosciences, 2011, 19(6): 611-615
Authors:ZHU Ying-Biao  LU Li-Ping
Affiliation:ZHU Ying-Biao,LU Li-Ping Department of Neurology,Lishui People's Hospital,Lishui 323000,China
Abstract:Aim: To explore the prognostic value of combined ABCD2 score and CTA in evaluating brain infarction 7 days after the onset of a transient ischemic attack(TIA).Methods: The clinical data and CTA findings of 120 hospitalized TIA patients from Dec.2008 to Mar.2011 were analyzed.The relationship of all the parameters,including different ABCD2 scores and varied CTA manifestations,to the risk of post TIA cerebral infarction were analyzed by using Chi-square test.Results: Of 120 patients,31 of them(25.83%) suffere...
Keywords:transient ischemic attack  cerebral infarction  ABCD2 score  CT angiography  risk factor  
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