摘要
目的:应用脑血管造影技术(DSA)对短暂性脑缺血发作(Transient ischemic attack,TIA)进行病因研究。方法:选择住院的TIA患者32例进行脑血管造影,12例进行了溶栓治疗,30例病人行颈动脉超声,观察TIA患者DSA结果,并与颈动脉超声结果比较。结果:1.TIA患者DSA显示颅内、外动脉异常,总异常率为93%(30/32);2.DSA显示颈内动脉颅外段异常78.1%(25/32),与颈动脉超声结果86.7%(28/30)较一致。结论:颅内外血管狭窄或闭塞可能是TIA的主要原因,对于TIA患者及早行DSA和颈动脉超声,进一步行介入及溶栓治疗,从而避免或减少脑血栓的发生。
Objective To study the etiopathogy of transient ischemie attack（TIA） using the method of digital subtrac- tion angiography（DSA）. Methods： 32 TIA patients were performed DSA, 30 patients carotid ultrasonography, 12 patients intra-arterial thrombolytic therapy. To contrast the patients＇ results of DSA with the results of carotid ultrasonography. Results： 1, the total abnormal rate of intracranial artery and extracranial artery of DSA is 93 % （30/32） ; 2 the total abnormal tate of extraeranial internal carotid artery of DSA is 78.10% （25/32） ; carotid ultrasonography 86.70/oo （28/30）, respectively with no statistical difference. Conclusion： The occlusion or stenosis in extra-and intracranial arteries may be the main cause of TIA. It is improtant for the TIA patients to perform DSA , carotid ultrasonography , interverntional thera- py intra-arterial thromholytic therapy. It can avoid or decrease the onset and development of acute cerebral infarction.
出处
《脑与神经疾病杂志》
2007年第4期291-293,共3页
Journal of Brain and Nervous Diseases
基金
2006年河北省科技攻关计划项目
关键词
短暂性脑血发作
脑血管造影
颈动脉彩色超声
血管内支架
Transient ischemic attack
digital subtraction angiography
carotid ultrasonography
Endovascular stent
