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[一过性黑矇]

[Amaurosis fugax].

作者信息

Cazzato G, Torre P

出版信息

Riv Neurol. 1981 Jan-Feb;51(1):1-26.

PMID:7027416
Abstract

A follow up study has been performed in thirteen patients suffering from (amaurosis fugax) (A.F.). From the case material analysis and from the review of the current literature it has been possible to infer that the current pathogenetic hypotheses (cerebral and/or retinal microembolism) of the amaurosis fugax and of the transient ischemic cerebral attacks without ocular symptoms are similar, at least in the most of the cases. In all the cases of amaurosis fugax examined, the clinical symptomatology, the frequency of the episodes and the time required for its complete recovery have been described. Some (risk factors) of cerebrovascular disease, such as hypertension, diabetes mellitus and high plasma levels of cholesterol and triglycerides, have been statistically analyzed using Student's t test and chi-square. As regards other possible risk factors (ischemic heart disease, peripheral vascular diseases, chronic obstructive pulmonary disease) only a statistical frequency analysis has been performed. The results of the anti-platelet therapy in modifying the frequency of the A.F. episodes have been discussed. It has been lastly considered the results of the follow-up study in regard to the prognosis of the A.F.

摘要

对13例患有一过性黑矇(A.F.)的患者进行了一项随访研究。通过对病例资料的分析以及对当前文献的回顾,有可能推断出,至少在大多数情况下,一过性黑矇和无眼部症状的短暂性脑缺血发作的当前发病机制假说(大脑和/或视网膜微栓塞)是相似的。在所有接受检查的一过性黑矇病例中,均描述了临床症状、发作频率以及完全恢复所需的时间。使用学生t检验和卡方检验对一些脑血管疾病的(危险因素),如高血压、糖尿病以及高血浆胆固醇和甘油三酯水平进行了统计学分析。对于其他可能的危险因素(缺血性心脏病、外周血管疾病、慢性阻塞性肺疾病),仅进行了统计频率分析。讨论了抗血小板治疗在改变一过性黑矇发作频率方面的结果。最后考虑了随访研究关于一过性黑矇预后的结果。

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