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本文报告脑缺血发作伴有二尖瓣脱垂的病例,并推想它们之间有关系。在过去4年中,作者对暂时性脑缺血发作的患者试用了抑制血小板的药物。发现14人同时存在脑缺血及二尖瓣脱垂。其中男女各7人。平均年龄37岁(18～67岁),所有患者均无高血压、贫血或红细胞增多。神经系统方面10人曾突然发生偏瘫或有较明显的脑血管意外的表现(包括发音、语言困难、同侧偏盲、前庭功能及听觉丧失)。3人在不同时间出现双侧大脑半球受损。患者呈急性非进行性的脑血管意外发作,并有后遗症。反复发作的时间可相隔数月或数年,个别人则短些。全部病人均作了脑血管造影,结果颅内外血管均无明显的动脉硬化病变,8例脑血管造影完全正常,6人有栓子引起的颅内血管阻塞。心脏方面3例有收缩中期喀喇音,5例心尖区有
This article reports cases of ischemic attacks associated with mitral valve prolapse and suggests a relationship between them. In the past four years, the authors tested platelet-inhibiting drugs in patients with transient ischemic attacks. 14 were found to have both cerebral ischemia and mitral valve prolapse. Seven of them are male and female. The average age was 37 years (18-67 years). All patients had no hypertension, anemia or red blood cells. Ten people in the nervous system had a sudden hemiplegia or more obvious manifestations of cerebrovascular accident (including pronunciation, language difficulties, ipsilateral hemianopsia, vestibular function and hearing loss). 3 people at different times appear bilateral cerebral hemisphere damage. Patients were acute non-progressive cerebrovascular accident, and sequelae. Recurrent time can be separated by months or years, some individuals are shorter. All patients were made cerebral angiography, the results of intracranial and extracranial vascular lesions were not obvious atherosclerosis, 8 cases of cerebrovascular angiography was normal, 6 people had emboli caused by intracranial vascular obstruction. 3 cases of heart contractions have mid-Kara-tone, 5 cases of apical area