卒中是一个很现实的问题。施行颈动脉内切除术以预防卒中不得不面对这样的事实:预防手术的主要并发症。卒中有很高的死亡及发病率;更重要的,它标志患者有全身血管病,颈动脉内膜切除术仅能姑息一阶段。本通过手术病例的分析结合文献,阐明对有一性缺血发作(TIA)、脑缺血性梗死或无症状动脉杂音患者的合理处理方案。料来源和方法 Stroke is a real problem. Carotid endarterectomy to prevent stroke has to face the fact that it prevents the major complications of surgery. Stroke is associated with high rates of death and morbidity; more importantly, it indicates that the patient has systemic vascular disease and carotid endarterectomy can only tolerate one stage. The analysis of surgical cases combined with the literature to clarify the rational treatment of patients with an ischemic stroke (TIA), ischemic infarction or asymptomatic arterial disease. Material sources and methods