老年短暂性脑缺血发作患者的诊治分析  

Clinical Study of Transient Ischemic Attack in Elderly Patients

作　　者：吴秋枫[1] 闫瑞芬 

机构地区：[1]武汉科技大学附属天佑医院急诊科,湖北省武汉市430064 [2]武汉市民政局元宝山干休所

出　　处：《实用心脑肺血管病杂志》2012年第1期115-116,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨老年人短暂性脑缺血发作(TIA)的危险因素、临床特点,为临床提供诊疗依据。方法对236例60岁以上TIA患者临床表现、血生化指标、心电图、颈动脉彩色超声、脑血管多普勒(TCD)、影像学特点及短期预后进行分析。结果老年人TIA患者高血压、高脂血症、糖尿病、心电图异常及颈动脉粥样硬化斑块、颈内动脉系统和椎基底动脉系统病变检出率均较高。另外运动少、肥胖、嗜烟酒者较多。TIA持续1h以内最多,超过1h脑梗死发生率较高。结论老年人TIA有较多的危险因素,如高血压、高脂血症、糖尿病、动脉粥样硬化、运动少、肥胖、嗜烟酒者。发作时间超过1h的老年TIA患者应引起临床医生的重视:如加强监护,积极治疗,警惕脑梗死发生。Objective To study the risk factors,the characteristics of transient ischemic attack(TIA) in elderly patients and provide scientific basis for diagnostication and treatment.Methods The clinical data 236 patients over 60 years old with TIA were analyzed,including clinical exhibitions,biochemical laboratory of blood,EKG,color Doppler flow imaging of carotid artery,TCD,brain CT or MRI,neck X-ray or CT and MRI prognosis in a month.Results Hypertension,diabetes,abnormity in EKG,carotid atherosclerosis plaque,abnormous internal carotid and other specified headache system is higher.Beside,hypokinesia,fat,addicted to alcohols and cigarettes are very common.Most of TIA is duration over an hour.The occurring rate of cerebral infarction was higher then over an hour.Conclusion More risk factors are found in elderly patients.We should pay more attention to the patients with TIA which is longer than an hour from critical care medicine and treatment.

关 键 词：老年人 短暂脑缺血发作 诊断 

分 类 号：R743.31[医药卫生—神经病学与精神病学]