|
老年人短暂脑缺血发作189例临床分析
|
|
【免费中医学论文】【摘要】 目的 研究老年人短暂脑缺血发作(TIA)的危险因素、临床特点,为临床诊疗提供依据。方法 对189例60岁以上TIA患者临床表现、血生化指标、心电图(EKG)、颈动脉彩色超声、脑血管多普勒(TCD)、影像学特点及短期预后进行分析。结果 老年人TIA患者高血压、高脂血症、糖尿病、心电图异常及颈动脉粥样硬化斑块、颅内颈内动脉系统和椎基底动脉系统病变检出率均较高。另外,运动少、肥胖、嗜烟酒者较多。TIA持续1h以内最多,超过1h脑梗死发生率较高。结论 老年人TIA有较多的危险因素,如高血压、高脂血症、糖尿病、动脉粥样硬化、运动少、肥胖、嗜烟酒者。发作时间超过1h的老年TIA患者应引起临床医生的重视:如加强监护,积极治疗,警惕脑梗死发生。 【关键词】 老年人;短暂脑缺血发作;临床分析 [Abstract] Objective To study the risk factors,the characteristics of transient ischemic attack(TIA) in elderly patients and provide scientific basis for diagnostication and treatment. Methods The clinical data of 189 patients over 60 years old with TIA were analyzed, including clinical exhibitions, biochemical laboratory of blood, EKG, color Doppler flow imaging of carotid artery, TCD, brain CT or MRI,neck X-ray or CT and MRI prognosis in a month.Results Hypertension, diabetes, abnormity in EKG, carotid atheroscle
|
|
|