短暂性脑缺血发作定义的演变

被引:7
作者
曹勇军
肖国栋
章春园
刘春风
机构
[1] 苏州大学附属第二医院神经内科
关键词
脑缺血发作,短暂性; 科学术语(主题);
D O I
暂无
中图分类号
R743.3 [急性脑血管疾病(中风)];
学科分类号
1002 ;
摘要
近年来,对短暂性脑缺血发作(transient ischemic attack,TIA)的定义、病因、诊断和治疗有了许多新的认识。最新的观点认为,TIA是由脑、脊髓或视网膜局灶性缺血引起的短暂性神经功能障碍,且无急性脑梗死证据。症状持续时间不再是关键,是否存在梗死才是区别TIA与缺血性卒中的关键,因此强调神经影像学在TIA诊断方面的重要性。TIA作为一种神经科急症,要求对其危险程度进行分层评价,并进行积极干预。
引用
收藏
页码:673 / 676
相关论文
共 11 条
[1]  
中国脑血管病防治指南[M]. 人民卫生出版社 , 饶明俐主编, 2007
[2]   Validation and refinement of scores to predict very early stroke risk after transient ischaemic attack [J].
Johnston, S. Claiborne ;
Rothwell, Peter M. ;
Nguyen-Huynh, Mai N. ;
Giles, Matthew F. ;
Elkins, Jacob S. ;
Bernstein, Allan L. ;
Sidney, Stephen .
LANCET, 2007, 369 (9558) :283-292
[3]   A simple score (ABCD) to identify individuals at high early risk of stroke after transient ischaemic attack [J].
Rothwell, PM ;
Giles, MF ;
Flossmann, E ;
Lovelock, CE ;
Redgrave, JNE ;
Warlow, CP ;
Mehta, Z .
LANCET, 2005, 366 (9479) :29-36
[4]  
Long-term survival and vascular event risk after transient ischaemic attack or minor ischaemic stroke: a cohort study[J] . I van Wijk,LJ Kappelle,J van Gijn,PJ Koudstaal,CL Franke,M Vermeulen,JW Gorter,A Algra.The Lancet . 2005 (9477)
[5]   Incidence and short-term prognosis of transient ischemic attack in a population-based study [J].
Kleindorfer, D ;
Panagos, P ;
Pancioli, A ;
Khoury, J ;
Kissela, B ;
Woo, D ;
Schneider, A ;
Alwell, K ;
Jauch, E ;
Miller, R ;
Moomaw, C ;
Shukla, R ;
Broderick, JP .
STROKE, 2005, 36 (04) :720-723
[6]  
Timing of TIAs preceding stroke: Time window for prevention is very short[J] . Peter M. Rothwell,Charles P. Warlow.Neurology . 2005 (5)
[7]   Transient ischemic attacks are more than "ministrokes" [J].
Daffertshofer, M ;
Mielke, O ;
Pullwitt, A ;
Felsenstein, M ;
Hennerici, M .
STROKE, 2004, 35 (11) :2453-2458
[8]  
Transient ischemic attack[J] . Kaushal H Shah,Jonathan A Edlow.Annals of Emergency Medicine . 2004 (5)
[9]  
Discussion: Reconsideration of TIA terminology and definitions[J] . J.D. Easton,G.W. Albers,L.R. Caplan,J.L. Saver,D.G. Sherman.Neurology . 2004 (8 Su)
[10]  
Early stroke treatment associated with better outcome: The NINDS rt-PA Stroke Study[J] . J. R. Marler,B. C. Tilley,M. Lu,T. G. Brott,P. C. Lyden,J. C. Grotta,J. P. Broderick,S. R. Levine,M. P. Frankel,S. H. Horowitz,E. C. Haley,C. A. Lewandowski,T. P. Kwiatkowski.Neurology . 2000 (11)