在短暂性脑缺血发作的治疗中，手术并不比药物治疗更具优势。
Surgery offers no more than medical treatment in the management of transient ischaemic attack.
作者信息
Thompson J, McDonald P J, Johnson C D
机构信息
Department of Surgery, Royal South Hants Hospital.
出版信息
Ann R Coll Surg Engl. 1990 Mar;72(2):114-8.
This paper debates the motion that 'Surgery offers no more than medical treatment in the management of transient ischaemic attack' (TIA). The arguments in support of this motion are that surgical treatment has a high morbidity and mortality, and that even the investigation of patients by angiography prior to surgery entails a risk of stroke; that TIA is a marker of generalised vascular disease, and that medical treatment can reduce the incidence of stroke after TIA. The counter arguments are that TIA is associated with an increased risk of stroke and this risk can be reduced by surgery; that recent surgical results show an acceptable complication rate, and that modern methods of investigation permit accurate non-invasive assessment of patients at risk of stroke.
本文就“在短暂性脑缺血发作（TIA）的治疗中，手术并不比药物治疗更具优势”这一观点展开辩论。支持该观点的论据包括：手术治疗具有较高的发病率和死亡率，甚至在手术前通过血管造影对患者进行检查也存在中风风险；TIA是全身性血管疾病的一个指标，药物治疗可以降低TIA后中风的发生率。反对的论据则是：TIA与中风风险增加相关，而手术可以降低这种风险；近期的手术结果显示并发症发生率可以接受，并且现代检查方法能够对有中风风险的患者进行准确的非侵入性评估。
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