摘要
目的探讨慢性肺源性心脏病并发短暂性脑缺血发作(TIA)的临床特点。方法对27例住院肺心病并发TIA病人分别从临床症状、体征、辅助检查以及治疗方法等方面进行回顾性分析。结果高龄、高血压、高脂血症、糖尿病、缺氧、高血黏度、心功能不全、心房颤动、反复使用糖皮质激素等与肺心病并发TIA密切相关,动脉粥样硬化是其主要病理基础。结论肺心病并发TIA是多种危险因素相互作用的结果,其临床表现不典型,易漏诊、误诊,及早病因诊断及治疗有重要意义。
Objective To investigate the clinical characteristics of chronic pulmonary heart disease complicated with cerebral transient ischemic attack （TIA）. Methods Retrospective analysis was done on 27 cases of chronic pulmonary heart disease complicated with cerebral TIA. Results The occurrence of pulmonary heart disease complicated with TIA was closely related to advanced age, hypertension, hyperlipidemia, iabetes, ypoxia, yperviscosity, entricular dysfunction, trial fibrillation, glucocorticoid treatment, etc. Atherosclerosis was the main pathological basis. Conclusion Pulmonary heart disease complicated with TIA is the result of interaction of multiple risk factors. Its clinical manifestation is atypical, which easily leads to misdiagnosis, it is important for the doctors to etiologically diagnose and treat the disease early.
出处
《临床军医杂志》
CAS
2014年第6期570-572,601,共4页
Clinical Journal of Medical Officers
关键词
慢性肺源性心脏病
短暂性脑缺血发作
临床分析
chronic pulmonary heart disease
cerebral transient ischemic attack
clinical analysis
