Butler R N, Ahronheim J, Fillit H, Rapoport S I, Tatemichi J K
Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York.
Geriatrics. 1993 Nov;48(11):32-4, 40-2.
Vascular dementia is a clinical syndrome of acquired intellectual impairment resulting from brain injury due to a cerebrovascular disorder. It is a complex diagnosis, and diagnostic criteria vary. In community practice, the physician can probably make the diagnosis based on the history and medical examination. CT demonstration of one or more infarcts increases the likelihood of this diagnosis. Hypertension is a major risk factor for vascular dementia. Others include smoking, hyperlipidemia, atrial fibrillation, diabetes, and a sedentary lifestyle. Cerebrovascular disease is an important cause of cognitive decline in older patients. Therefore, it is important to recognize risk factors for stroke and institute measures for prevention.
血管性痴呆是一种因脑血管疾病导致脑损伤而引起的获得性智力障碍的临床综合征。它是一个复杂的诊断，诊断标准各不相同。在社区实践中，医生可能根据病史和体格检查做出诊断。CT显示一处或多处梗死增加了该诊断的可能性。高血压是血管性痴呆的主要危险因素。其他因素包括吸烟、高脂血症、心房颤动、糖尿病和久坐不动的生活方式。脑血管疾病是老年患者认知能力下降的重要原因。因此，识别中风的危险因素并采取预防措施很重要。
