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短暂性脑缺血发作与不同部位后继脑梗死关系的临床研究
引用本文:王大力,张江,常莉莎,刘会英,彭延波,赵晓晶.短暂性脑缺血发作与不同部位后继脑梗死关系的临床研究[J].华北煤炭医学院学报,2009,11(3):304-305.
作者姓名:王大力  张江  常莉莎  刘会英  彭延波  赵晓晶
作者单位:1. 华北煤炭医学院附属医院神经内科二病区,河北唐山,063000
2. 华北煤炭医学院附属医院神经内老年病区,河北唐山,063000
摘    要:①目的 探讨短暂性脑缺血发作(TIA)与不同部位后继脑梗死的关系.②方法 选择首次入院脑梗死患者658例,其中有同侧TIA的患者122例,按照脑梗死前是否预先发生同侧的TIA分为无TIA组和有TIA组.采用CSS和ADL评分标准,于入院时进行神经功能缺损程度评分,比较各组间神经功能缺损程度差异有无显著性,并于病程1个月时对各组进行日常生活能力评分,评定患者预后恢复情况,分析TIA的神经保护性与不同部位后继脑梗死的关系.③结果 脑梗死部位及范围在有无TIA组间比较差异无显著性(P>0.05).梗死部位对预后的影响,在皮质表层I级预后预先有TIA为68%,无TIA为56%,比率高于无TIA,但二者差异无显著性(P>0.05).而皮层下梗死I级预后有TIA为73%,无TIA为65%,两组间差异无显著性(P>0.05).④结论 TIA的神经保护性与脑梗死部位无明显的关系.

关 键 词:短暂性脑缺血发作  脑梗死  缺血耐受现象

The study on the the correlation of transient ischemic attacks with the different position of the subsequent cerebral infarction
WANG Dali,ZHANG Jiang,CHANG Lisha,et al.The study on the the correlation of transient ischemic attacks with the different position of the subsequent cerebral infarction[J].Journal of North China Coal Medical College,2009,11(3):304-305.
Authors:WANG Dali  ZHANG Jiang  CHANG Lisha  
Institution:Department of Neurology;The Affiliated Hospital of North China Coal Medical University;Tangshan 063000;China
Abstract:Objective To investigate the correlation of transient ischemic attacks(TIAs)with the different position of the subsequent cerebral infarction(CI).Methods 658 patients who were the first hospitalization because of CI were chose,including 122 patients with the prior ipsilateral TIAs before CI.According to ipsilateral TIAs in advance,the patients were divided into two groups: the group with TIAs and the group without TIAs.The score of neurologic impairment was fulfilled according to the score standards of CSS ...
Keywords:Transient ischemic attacks  Cerebral infarction  Ischemic tolerance  
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