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局灶性短暂脑缺血发作(TIA)很少与低血压发作有关,而由直立位促发者更为少见。本文报告1例直立性TIA,并简要地复习了有关文献。患者,66岁女性,左利。突然出现呐吃,言语障碍,经睡一觉醒来时恢复正常。起床后1小时,症状复发,持续数分钟。在一天中,言语障碍反复发作,且每次发作均在站立时。20岁时患高血压病,服氢氯噻嗪、肼苯哒嗪及胍乙啶治疗。发现心房纤颤已数年。体检见脉搏56次/分,不规则,心尖区听到全收缩期吹风样杂音,卧位血压190/90,立位血压无变化。CT扫描示左侧内囊有一梗塞灶。住院
Focal episodic transient ischemic attacks (TIA) are seldom associated with hypotensive episodes, but are more rare with upright promoters. This article reports 1 case of orthostatic TIA, and briefly reviewed the literature. Patient, 66 years old, Zolli. Abnormal appetite, speech disorders, wake up after a normal sleep. One hour after getting up, the symptoms recur and lasts for a few minutes. During the day, speech disorders recurrent, and each episode is standing. 20-year-old suffering from hypertension, taking hydrochlorothiazide, hydralazine and guanethidine treatment. Atrial fibrillation has been found for several years. Physical examination to see the pulse of 56 beats / min, irregular, apex area to hear full systolic hair-like murmur, supine blood pressure 190/90, standing position no change in blood pressure. The CT scan showed an infarct on the left internal capsule. Hospitalized