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短暂性脑缺血发作病因及临床护理治疗进展

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短暂性脑缺血发作是临床较为常见疾病,该病是指由于颅内血管病变导致的不伴有急性脑梗死的短暂性以及局灶性脑功能、脊髓或者视网膜功能障碍,多数患者症状可在24 h内缓解,且多数患者在症状缓解后不会留下任何神经功能缺失症状,故而人们对该病的危险性并不重视.短暂性脑缺血发作容易反复发作,患者若多次发病,不能获得及时治疗,可能会发展为脑梗死,对患者生命造成威胁.近年来,短暂性脑缺血发作的发病率明显上升,危害严重,故而临床十分重视.及时了解短暂性脑缺血发作的主要病因,对及时诊断及有效预防具有较为重要的意义.本文对短暂性脑缺血发作的发病原因、危险因素、院前急救护理、院内临床诊断以及临床治疗方法(抗血小板治疗、抗凝治疗、降脂治疗、中医治疗及外科治疗)进行综述,以期有效预防以及治疗短暂性脑缺血发作疾病,保障患者安全.
Progress of etiology and clinical nursing and treatment of transient ischemic attack
Transient ischemic attack is a relatively common clinical disease,which refers to the transient and focal brain function,spinal cord or retinal dysfunction without acute cerebral infarction caused by intracranial vascular lesions.Most patients'symptoms can be relieved within 24 h,and most patients will not leave any symptoms of neurological function loss after symptom relief.Therefore,people do not pay attention to the risk of this disease.Transient ischemic attack is prone to repeated attacks,if the patient has repeated attacks,and can not get timely treatment,which may develop cerebral infarction is a threat to the patient's life.In recent years,the incidence of transient ischemic attack has increased significantly and the harm is serious,so clinical attention is paid to it.Timely understanding of the main causes of transient ischemic attack is of great significance for timely diagnosis and effective prevention.The pathogeny,risk factors,pre-hospital first aid nursing,clinical diagnosis and clinical treatment methods(antiplatelet therapy,anticoagulant therapy,lipid-lowering therapy,traditional Chinese medicine therapy and surgical trerapy)of transient ischemic attack are reviewed in this paper,so as to effectively prevent and treat transient ischemic attack,ensure patients'safety.

Transient ischemic attackEtiologyClinical treatmentDiagnosisPre-hospital first aid

张志姣

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天津市急救中心通讯信息科,天津 300011

短暂性脑缺血发作 病因 临床治疗 诊断 院前急救

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(4)
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