摘要
目的 :研究短暂性脑缺血 (TIA)发作的发病危险因素及临床预后。方法 :对 63例短暂性脑缺血发作的临床及脑梗死发生率、血脂检查资料进行分析。结果 :短暂性脑缺血发作后发生脑梗死者占 3 0 .2 % ,其中颈动脉系 2 7% ,椎基底动脉系 3 .2 %。 78.9%发生在第一年内。短暂性脑缺血患者高密度脂蛋白胆固醇 (HDL C)水平降低、低密度脂蛋白胆固醇 (LDL C)水平升高均较明显 ,与健康人比较均有显著性差异 (P <0 .0 5～ 0 .0 1)。在短暂性脑缺血发作合并高血压患者中 ,3例均因短期内降压幅度过大而发生脑梗死。结论 :高脂血症、高血压是脑血管病的危险因素 ;既往TIA是脑梗死的高危人群 ;
Objective:To study the causes and the prognosis of temporal brain ischemia attacks. Method:To analyze the clinical atacks of 63 cases of temporal brain ischemia, their brain infarction incidence rate and blood fat checking materials. Results:Those who have brain infarction after temporal brain ischemia attacks account for 30.2%, including 27% in carotid system and 3.2% in vertebral artery and basilar artery. The occurrences within the first year account for 78.9%. Temporal brain ischemia victims have a clear demonstration of low level of HDL C and high level of LDL C, which is quite different from normal and healthy people(P < 0.05～0.01). Among those with both temporal brain ischemia and high blood presure,brain infarction atlacks in three due to steep falling in blood pressure. Conclusion:Hyperlipemia and high blood pressure are causes of cerebrovascular diseases; those who have suffered from TIA have high incidence of brain infarction; the treatment of TIA patients with high blood pressure history should be careful.
出处
《镇江医学院学报》
2001年第5期621-622,共2页
Journal of Zhenjiang Medical College
关键词
短暂性脑缺血发作
危险因素
脑梗死
血脂异常
Temporal brain ischemia attack
Causes
Brain infarction
Blood fat disorder
