短暂性脑缺血发作新进展-中国卒中杂志.PDFVIP

874 Chin J Stroke, Oct 2014, Vol 9, No.10 ·综述· 短暂性脑缺血发作新进展 黄维，毕齐 作者单位 【摘要】 短暂性脑缺血发作（transient ischemic attack，TIA）是常见的缺血性脑血管病之一，但其诊 100029 北京 断、治疗中仍存在许多争议。磁共振成像（magnetic resonance imaging，MRI）/弥散加权成像（diffusion 首都医科大学附属北京 weighted imaging，DWI）检查在TIA诊断中是否必要；TIA患者是否应住院治疗；TIA后的抗血小板治疗应 安贞医院神经内科 通信作者 单用阿司匹林还是阿司匹林联合氯吡格雷；心源性TIA后何时开始抗凝治疗最合适；TIA的二级预防 毕齐 对减少卒中的发生至关重要，如何做好二级预防，避免误诊、误治的发生；几种较为特殊的TIA发病 biqidoctor@163.com 率较低，如何尽快明确诊断，这些问题值得临床医师重视。本文对上述有关临床研究进行总结，结 合国内外指南，对这些问题的最新进展作一综述，以期帮助大家更科学地了解TIA的诊断及治疗。 【关键词】 短暂性脑缺血发作；影像；住院治疗；抗血小板；抗凝；特殊类型 【DOI】 10.3969/j.issn.1673-5765.2014.10.013 New Progress in Transient Ischemic Attack HUANG Wei, BI Qi. Department of Neurology, Beijing Anzhen Hosipital, Capital Medical University, Beijing 100029, China Corresponding Author:BI Qi, E-mail:biqidoctor@163.com 【 】 Abstract Transient ischemic attack (TIA) is one of the most common ischemic cerebrovascular diseases, but there are still disputes in its diagnosis and treatment. Is magnetic resonance imaging (MRI)/diffusion weighted imaging (DWI) examination necessary in the diagnosis of TIA; whether patients with TIA should be hospitalized; Dual or mono antiplatelet therapy which is better after TIA; what is the best time of anticoagulant treatment after cardiogenic TIA; secondary prevention of TIA is essential, how to offer a proper secondary prevention and avoid misdiagnosis and mistreatment; some special type of TIA is relatively rare, how to diagnos