摘要
目的:探讨椎-基底动脉系统短暂性脑缺血发作(TIA)的临床特点和治疗方法。方法:回顾性分析97例椎-基底动脉系统TIA患者的临床资料及治疗方法。结果:高血压病、动脉粥样硬化、糖尿病、颈椎病等为椎-基底动脉系统TIA的常见原因;眩晕、平衡障碍及共济失调是其常见表现;跌倒发作、短暂性全面性遗忘及双眼视力障碍是其特征性症状;意识障碍是其严重表现。经过1周-1个月相应药物治疗,47例(48.4%)完全缓解,24例(24.7%)部分缓解,11例(11.3%)无效,15例(15.4%)恶化发展为梗死,其中4例(4.1%)死亡。结论:椎-基底动脉系统TIA具有易复发、易加重的特点,临床医师应掌握其临床表现,尽早完全或部分地控制其发作与进展。
Objective： To evaluate the anatomical basis, clinical features of transient ischemic attacks （TIA） of the vertebro-basilar system. Methods： Clinical data of 97 cases with TIA of the vertebro-basilar system were retrospectively analyzed. Results： Out of 97 cases, 47 patients （48.4%） experienced no attacks any more; 24 cases （24.7%） had reduced number of attacks; 11 （11.3%） remained unchanged; 15 （15.4%） developed cerebral infarction; and 4 cases （4.1%） died. Conclusion：TIA of the vertebro-basilar system is clinically characterized by recurrent episodes, tendency to deteriorate and unsatisfactory prognosis.
出处
《神经损伤与功能重建》
2006年第3期147-148,共2页
Neural Injury and Functional Reconstruction
