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本文对390例动脉硬化血管病所引起的局灶性TIA 患者进行缺血性心脏病的发病率和死亡率的前瞻性研究。男性63%,住院时的年龄37—82岁,平均61.7岁。颈动脉系统 TIA,椎基底动脉系统 TIA56人。324例(83%)进行了颅外和颅内动脉造影,217例表现为颈动脉溃疡形成或闭塞性损害,25例发现锁骨下动脉、椎动脉或较大的颅内动脉有动脉硬化性闭塞而颈动脉无损害。余82例颈部和颅内血管无明显异常.对颈动脉溃疡形成或闭塞性损害的病人中进行了颈动脉内膜切除术。出院后,每6个月追踪一次。在5年追踪期间,脑梗塞69人,其中11例是致死性的;急性心脏发作包括猝死(SD)14例,致死性心肌梗塞(MI)21例,非致死性 MI22例。390个TIA 病人中67例死亡,其中11例死于卒中,35例为猝
This article prospectively studied the morbidity and mortality of ischemic heart disease in 390 patients with focal TIA caused by atherosclerotic vascular disease. 63% of males, 37-82 years of age at admission, an average of 61.7 years of age. Carotid system TIA, vertebrobasilar system TIA56 people. 324 cases (83%) underwent extracranial and intracranial arteriography, and 217 cases showed carotid ulcer formation or occlusive damage. 25 cases had arteriosclerosis obliteration of subclavian artery, vertebral artery or larger intracranial artery The carotid artery without damage. More than 82 cases of neck and intracranial blood vessels without obvious abnormalities in patients with carotid artery ulcer formation or occlusion of the carotid endarterectomy. After discharge, follow up every 6 months. During the 5-year follow-up period, 69 people had cerebral infarcts, of which 11 were fatal. Acute heart attack included 14 cases of sudden death (SD), 21 cases of fatal myocardial infarction (MI) and 22 cases of non-fatal MI. Of the 390 TIA patients, 67 died, of whom 11 died of stroke and 35 were abrupt