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报道一组80例与动脉硬化有关的短暂性脑缺血发作(TIA)病人的随访结果。随访时间2周~6.5年,平均约4年。随访期中,13例发生完全性缺血性中风,其中7例经CT证实,2例心肌梗塞。随访结果表明:(1)颈动脉区TIA较椎-基底动脉区TIA容易发生完全性缺血性中风,且常在2年内发生。(2)TIA患者的完全性中风的发生率与TIA持续时间长短有关,而与TIA频率无关,持续时间长(>30分~24小时)的TIA发生完全性中风的危险性大。(3)TIA不仅是完全性中风而且是心肌梗塞的警报。
A follow-up of 80 patients with transient ischemic attack (TIA) associated with arteriosclerosis was reported. Follow-up time of 2 weeks ~ 6.5 years, an average of about 4 years. During the follow-up period, complete ischemic stroke occurred in 13 patients, of which 7 were confirmed by CT and 2 were myocardial infarction. The follow-up results showed that: (1) TIA in the carotid artery region is more prone to complete ischemic stroke than TIA in the vertebrobasilar artery region and occurs frequently within 2 years. (2) The incidence of complete stroke in patients with TIA is related to the duration of TIA, whereas the duration of TIA (> 30 minutes to 24 hours) has a high risk of complete stroke regardless of the frequency of TIA. (3) TIA is not only a complete stroke but also an alarm of myocardial infarction.