急性脑梗死与TIA的关系探讨

目的探讨急性脑梗死发病与发病前一过性缺血发作(transient ischaemic attack,TIA)发作及干预方式之间的关系。方法113例急性脑梗死患者临床资料作回顾性分析和研究。结果急性脑梗死发病前有TIA发作者具有年龄大,合并征多的特点;TIA发作未予治疗者急性脑梗死发病率较高;且在7d内发生的急性脑梗死致残率高,而TIA发作次数对后遗症无显著影响。结论对于TIA发作及时诊断和早期积极治疗,可减少急性脑梗死的发病率和致残率。

Objective Aim To investigate the relationship between the profiles of acute cerebral infarction and the transient ischaemic attack (TIA) preceding acute cerebral infarction. Methods Retrospective study on 113 acute cerebral infarction inpatients in our emergency department from Oct. Results Patients in whom occurrence of prior TIA is associated with greater age and more complication;the prior TIA which untreated have high risk of acute cerebral infarction,and the disabling sequelae of infarction in the 7 days after a TIA is higher。Conclution Prompt diagnosis and treatment on transient ischaemic attack preceding acute cerebral infarction could decrease the incidence and sequelae of acute cerebral infarction。