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对于有过一次短暂性脑缺血发作(TIA)且颈动脉狭窄达80%的患者,我们应该要求进行哪些检查?

What workup should we require for a patient who has had one TIA and demonstrates 80% carotid stenosis?

作者信息

Lee K S

机构信息

Division of Neurosurgery, Eastern Carolina University School of Medicine, Greenville, North Carolina 27834, USA.

出版信息

J Neurosurg Anesthesiol. 1996 Oct;8(4):305-7. doi: 10.1097/00008506-199610000-00009.

DOI:10.1097/00008506-199610000-00009
PMID:8884628
Abstract

The workup that I would recommend of a patient with a single TIA and an 80% carotid stenosis would include carotid ultrasound combined with MRA. If these studies correlated, then I would proceed with carotid endarterectomy after medicine or cardiology consultation and workup for coronary artery disease.

摘要

对于患有单次短暂性脑缺血发作(TIA)且颈动脉狭窄达80%的患者,我建议的检查包括颈动脉超声联合磁共振血管造影(MRA)。如果这些检查结果相互印证,那么在咨询内科或心脏科并对冠状动脉疾病进行检查评估后,我会进行颈动脉内膜切除术。

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