基底动脉尖综合征在基层医院较少见,我科2001年收治了4例,其中3例随访5年,现报告如下。1 临床资料病例1.患者男,68岁。既往风心病史5年、房颤1年。于2001-10-11凌晨出现眩晕、恶心呕吐、口周及双手第1指节麻木感。1h 后入院。查体:除风湿性心脏病、房颤外, Basilar artery tip syndrome is rare in primary hospitals, our department admitted in 2001 4 cases, of which 3 were followed up for 5 years, are as follows. 1 clinical data cases 1. Patient male, 68 years old. Previous rheumatic history of 5 years, 1 year of atrial fibrillation. Dizziness, nausea and vomiting appeared in the early morning of October 10-11, and numbness of the first knuckles of the mouth and hands were observed. 1h after admission. Physical examination: In addition to rheumatic heart disease, atrial fibrillation,