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目的观察和分析椎基底动脉供血不足的病因及危险因素。方法回顾性分析114例住院治疗的椎基底动脉供血不足患者,通过临床表现、相关实验检查、心电图、颈部血管彩超、颈椎片及头CT或MRI检查的调查,对其病因、危险因素及性别、年龄特点进行分析。结果本组病例以男性居多。78%的患者具备了多种危险因素,高血压病、糖尿病、高脂血症及颈椎病是其主要病因,颈部血管彩超71%有异常改变。结论椎基底动脉供血不足的病因复杂,应针对患者做相应检查,避免遗漏小脑或脑干梗死及锁骨下动脉盗血,明确病因,及时治疗,避免后循环梗死发生。
Objective To observe and analyze the etiology and risk factors of vertebrobasilar insufficiency. Methods A total of 114 inpatients with vertebrobasilar insufficiency were retrospectively analyzed. The etiology, risk factors and gender were analyzed by clinical manifestations, related laboratory tests, electrocardiogram, cervical vascular ultrasound, cervical spine slice and head CT or MRI. , Age characteristics of the analysis. Results The majority of male patients in this group. 78% of patients with a variety of risk factors, hypertension, diabetes, hyperlipidemia and cervical spondylosis is the main etiology, 71% of the abnormal changes in the color of the neck. Conclusions The cause of insufficiency of vertebrobasilar insufficiency is complex. The patients should be inspected accordingly to avoid omission of cerebellar or brainstem infarction and subclavian steal, clarify the cause, and timely treatment to prevent the occurrence of posterior circulation infarction.