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目的探讨颈内动脉系统短暂性脑缺血发作的临床特点,总结其诊治经验。方法回顾性分析2004年5月至2005年10月湖北省中山医院神经科45例颈内动脉系统短暂性脑缺血发作患者的临床和辅助检查资料。结果本组患者47.8%(26/45)临床表现单一,91.1%(41/45)的患者每天发作少于5次,66.7%(30/45)的患者发作最长持续时间小于1 h,7例患者进展为脑梗死,27例做颈部血管彩超的患者有20例发现有动脉粥样硬化斑块。结论颈内动脉系统短暂性脑缺血发作的早期诊治是预防其进展为脑梗死的关键。
Objective To investigate the clinical features of transient ischemic attack in the internal carotid artery and to summarize its experience of diagnosis and treatment. Methods The clinical and laboratory examinations of 45 patients with transient ischemic attack of internal carotid artery in Zhongshan Hospital of Hubei Province from May 2004 to October 2005 were retrospectively analyzed. Results In this group, 47.8% (26/45) had single clinical manifestations, 91.1% (41/45) had less than 5 episodes per day and 66.7% (30/45) had the longest duration less than 1 h, 7 Cases of patients with cerebral infarction progress, 27 cases of patients with cervical vascular ultrasound found in 20 cases of atherosclerotic plaque. Conclusion The early diagnosis and treatment of transient ischemic attack of the internal carotid artery system is the key to prevent its progression to cerebral infarction.