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目的探讨100例短暂脑缺血发作(TIA)的临床特点及其分型、治疗及预后。方法对100例TIA患者资料进行回顾性分析,对其进行0.5～5年的随访。结果血流动力学型56例,微栓塞型30例,梗死型24例。发生脑梗死情况:2d内发生2例(2%),30d内发生7例(7%),90d内发生7例(7%),1年内发生11例(11%),1～5年内共发生15例(15%),58例随访半年至5年,未发生脑梗死。结论根据发病机制可将TIA分为3型;血流动力学型、微栓塞型、梗死型;抗血小板、抗凝改善脑血管功能治疗可有效降低卒中的发生率。
Objective To investigate the clinical features, classification, treatment and prognosis of 100 cases of transient ischemic attack (TIA). Methods The data of 100 TIA patients were retrospectively analyzed. The patients were followed up for 0.5-5 years. Results There were 56 cases of hemodynamics, 30 cases of micro-embolism and 24 cases of infarction. 7 cases (7%) occurred in 30 days, 7 cases (7%) occurred in 90 days and 11 cases (11%) occurred in 1 year. After 1 to 5 years Occurred in 15 cases (15%), 58 cases were followed up for half a year to 5 years, no cerebral infarction occurred. Conclusion According to the pathogenesis, TIA can be divided into three types: hemodynamics, microembolization, infarction; antiplatelet, anticoagulation to improve cerebral vascular function therapy can effectively reduce the incidence of stroke.