《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (01): 74-74.

• 临床研究 • 上一篇    下一篇

短暂性脑缺血发作持续时间与预后的关系

韩崇玉1,2; 邓毓锐2; 张士勇2; 陈军2; 郭海明2   

  1. 1.内蒙古察哈尔右翼前旗人民医院,内蒙察哈尔右翼前旗 012200;2.北京医院协会右安门医院神经内科,北京市 100054
  • 收稿日期:2007-01-07 出版日期:2007-01-01 发布日期:2007-01-01

Relationship between Duration of Transient Ischemic Attacks and Prognosis:36 Case Report

HAN Chong-yu, DENG Yu-rui,ZHANG Shi-yong, et al   

  1. Chahaeryuoyiqianqi People's Hospital, Chahaeryuoyiqianqi 012200, Inner Mongolia, China
  • Received:2007-01-07 Published:2007-01-01 Online:2007-01-01

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摘要： 目的探讨短暂性脑缺血发作(TIA)持续时间和影像学特征与临床预后的关系。方法回顾性分析36例TIA患者的临床资料,分为TIA持续时间≤1h组(13例)和1～24h组(23例),分析头颅核磁共振弥散加权成像(MRI-DWI)显影率特点,对两组患者1年后进行随访,分析脑梗死发生率与持续时间和影像学特征的关系。结果结果TIA持续时间≤1h组2例头颅MRI-DWI异常,持续时间1～24h组17例头颅MRI-DWI异常(χ2=11.416,P=0.001)。1年后随访结果:持续时间≤1h组1例发生脑梗死,持续时间1～24h组14例发生脑梗死(χ2=9.663,P=0.004)。结论TIA持续时间长,头颅MRI-DWI异常率高,其临床预后结果差。

关键词: 短暂性脑缺血发作(TIA), 核磁共振弥散加权成像(MRI-DWI), 预后

Abstract: ObjectiveTo explore the relationship between the duration, MRI characters and prognosis in transient ischemic attack (TIA). Methods36 TIA cases were retrospectively analyzed according to the duration and Magnetic Resonance Imaging Diffusion Weighted Imaging(MRI-DWI). They were divided into two groups, Group A (13 cases) in which TIA continued within 1 h and Group B (23cases) in which TIA continued for 1～24 h. The patients were followed up 3 months and 12 months later. ResultsMRI abnormalities could be found with MRI-DWI in 2 cases in Group A, but 17 cases in group B(χ2=11.416,P=0.001). 1 case in Group A and 14 cases in Group B occurred cerebral infarction within a year(χ2=9.663,P=0.004). ConclusionThe longer TIA duration, the worse the prognosis.

Key words: transient ischemic attacks(TIA), magnetic resonance imaging diffusion weighted imaging(MRI-DWI), prognosis