青年短暂性脑缺血发作26例DSA分析  

Analysis of Digital Subtraction Angiography Results in 26 Young Individuals with Transient Ischemic Attack

作　　者：陈锦艳[1] 李雄新[1] 王大成[1] 

机构地区：[1]广西北海市人民医院神经内科,广西北海536000

出　　处：《河北医学》2012年第7期940-942,共3页Hebei Medicine

摘　　要：目的:本文旨在通过对26例青年短暂性脑缺血发作(TIA)患者的DSA分析来探讨血管因素在年青人脑血管病中发生的影响。方法:自2007年5月至2009年5月根据1995年全国第四届脑血管会议修订的标准选出26例TIA患者(平均年龄39岁),分析其DSA影像。结果:在26例患者DSA影像中,发现问题的有20例,其中先天性血管病变有4例(20%),狭窄或闭塞的有16例(80%)。后者中累及颅外血管12支(37.5%),颅内血管20支(62.5%)。可见动脉粥样硬化,斑块脱落也是年轻人TIA发生的主要原因之一。预防动脉粥样硬化或许将是降低青年卒中发生的一个主要方向。结论:血管病变是缺血性疾病的发生基础,DSA能很好的帮助我们了解TIA中年轻人的血管情况,对预防卒中的发生能起到至关重要的作用。Objective： To discuss the vascular factors in 26 cases of young patients with ischemic stroke by analyzing their digital subtraction angiography（DSA） results.Method： From May 2007 to May 2009,according to diagnostic standards for TIA revised by the Fourth National Conference on cerebrovascular（1995）,we selected a total of 26 patients with TIA（mean age 39 years）,and analyzed their DSA images.Result： Through the DSA images in 26 cases,we found vascular problems in 20 cases.Among them 4 cases（20%） had congenital vascular lesions,16 cases（80%） had stenosis occlusions.In the latter,37.5% involved the extracranial blood vessels and 62.5% involved the intracranial blood vessels.Visible atherosclerotic plaques rupture was one of the main reasons that occurred TIA in young people.Prevention of atherosclerosis will be a major direction for reducing youth stroke.Conclusion： The vascular lesions are the foundations of ischemic stroke.DSA can help us to understand the blood vessels status in young people with TIA.Therefore,this examination can play a vital role in stroke prevention.

关 键 词：短暂性脑缺血 青年 DSA 

分 类 号：R743.3[医药卫生—神经病学与精神病学]