Rosich Plá A
Med Clin (Barc). 1979 May 25;72(10):421-7.
The handling of patients with cerebral ischemia is reviewed, taking into consideration recent concepts regarding etiopathogenesis along with new diagnostic and therapeutic methods. A particularly important new diagnostic method is computerized axial tomography. The subject is divided into four sections in order to present a practical outline. The first section deals with the arterial circulatory system. Evaluation of patients with arteriosclerosis of the vessels in the neck and/or intracranial are reviewed in some detail, according to whether the clinical manifestation was transitory ischemia, progressive cerebral infarction, or complete cerebral infarction. Emphasis is placed on the proper selection of diagnostic tests and application of therapy in each case. The second part is a discussion of the changes in arterial blood pressure in the etipathogenesis of stroke. Arterial hypertension is an important factor in production of small infarctions. In the third section a review is made of the role of the heart in transitory ischemia and as a cause of cerebral infarctions. Lastly, the hematologic factors which might contribute to the development of cerebral ischemia, along with the other causes, are mentioned.
本文回顾了脑缺血患者的治疗方法，同时考虑了有关病因发病机制的最新概念以及新的诊断和治疗方法。一种特别重要的新诊断方法是计算机断层扫描。为了给出一个实用的概述，本文分为四个部分。第一部分涉及动脉循环系统。根据临床表现是短暂性缺血、进行性脑梗死还是完全性脑梗死，对颈部和/或颅内血管动脉硬化患者的评估进行了较为详细的综述。重点在于每种情况下诊断测试的正确选择和治疗的应用。第二部分讨论了中风病因发病机制中动脉血压的变化。动脉高血压是小梗死形成的重要因素。第三部分综述了心脏在短暂性缺血中的作用以及作为脑梗死的病因。最后，提到了可能导致脑缺血发展的血液学因素以及其他病因。
