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本文作者对病因为动脉硬化,确诊为短暂性脑缺血发作的225例患者进行了评价,治疗与随访达3~14年,平均5.5年。在这些患者中有124例接受外科治疗;45人接受抗凝及抗血小板凝集治疗;56人除因伴发病而接受治疗外,未接受其它治疗,该组为对照组。1976年作者随访时,82人死亡,其中21人死于脑梗塞,52人死于心脏病,9人死于其它原因。未治疗组:13人(23%)患脑梗塞;其中4人(7%)死亡,6人(10%)仍有一过性脑缺血发作。内科治疗组:11人(24%)仍有一过性脑缺血发作。在
The authors evaluated 225 patients with atherosclerosis who had been diagnosed with transient ischemic attack and were treated and followed up for an average of 5.5 years (range, 3 to 14 years). Among these patients, 124 received surgical treatment; 45 received anticoagulation and anti-platelet aggregation; 56 received no treatment other than due to morbidity and were included in the control group. At the time of the authors’ follow-up in 1976, 82 people were killed, 21 of whom died of cerebral infarction, 52 died of heart disease and 9 others died of other causes. Thirteen (23%) had cerebral infarction; four (7%) died and six (10%) had a transient ischemic attack. Medical treatment group: 11 (24%) still had a transient ischemic attack. in