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目的 :对缺血性脑卒中复发患者进行分析 ,以进一步了解其临床特点、危险因素及预后 ;方法 :基于 43例的临床特征并结合文献对复发率及其危险因素等进行讨论 ;结果 :997例完全性脑卒中复发率 4.3 % ,其中脑血栓 4.4% ,脑栓塞 9.5 % ,多为同侧复发 ,以合并高血压、糖尿病及TIA与脑卒中史者为多见 ,而缺血性心脏病、房颤、入院高血糖、高血脂、吸烟饮酒、血液学异常与复发无显著相关 ,复发次数越多预后越差 ;结论 :加强对缺血性脑卒中复发的预防十分重要。
Objective: To analyze the clinical characteristics, risk factors and prognosis of patients with recurrent ischemic stroke. Methods: Based on the clinical features of 43 patients and the literature, the recurrence rate and risk factors were discussed. Results: 997 Cases of complete recurrent stroke rate of 4.3%, of which cerebral infarction 4.4%, 9.5% of cerebral embolism, mostly ipsilateral recurrence, with hypertension, diabetes and TIA and stroke history is more common, and ischemic heart disease , Atrial fibrillation, admission hyperglycemia, hyperlipidemia, smoking and drinking, hematological abnormalities and recurrence were not significantly correlated, the more the number of recurrence the worse the prognosis; Conclusion: To strengthen the prevention of ischemic stroke recurrence is very important.