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对124例一过性脑缺血发作(TIA)患者进行了血液流变学研究,其中颈动脉TIA84例,椎-基动脉TIA40例。结果表明颈动脉TIA患者血小板聚集性、纤维蛋白原、红细胞变形性、低切变率、全血粘度和血浆粘度均显著高于对照组,而椎-基动脉TIA患者则仅纤维蛋白原和血浆粘度高于对照组。认为至少颈动脉系统脑梗塞血液流变学改变是病因之一。对TIA治疗应按血液流变学异常情况,有针对性纠正其异常指标。
Hemorrheology was performed in 124 patients with transient ischemic attack (TIA), including 84 cases of carotid artery TIA and 40 cases of vertebrobasilar TIA. The results showed that carotid artery TIA patients with platelet aggregation, fibrinogen, erythrocyte deformability, low shear rate, whole blood viscosity and plasma viscosity were significantly higher than the control group, while vertebrobasilar TIA patients only fibrinogen and plasma Viscosity higher than the control group. He believes that at least one of the causes of hemorheologic changes in the carotid system is cerebral infarction. TIA treatment should be abnormal blood rheology, targeted to correct its abnormal indicators.