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报告1例短暂脑缺血发作(TIA)治疗失败短期发展为脑梗死典型病例,探析中风先兆病因病机系脏腑气血虚损而致内生痰、火、风、瘀等实邪,TIA发展为脑梗死的危险因素乃脑血管狭窄、脑梗死病史、高龄、高血压、TIA发作时间较长,结合“治未病”化痰、滋阴、息风、化瘀等方法中医药干预可防治中风先兆,改善TIA的预后,减少TIA发展为脑梗死,从而预测TIA长期预后,期望提醒重视中医药对TIA早期干预,改善TIA患者长期预后。
One case of transient ischemic attack (TIA) reported short-term development of cerebral infarction failure typical cases, to explore the pathogenesis of stroke pathogenesis viscera qi and blood deficiency and endogenous phlegm, fire, wind, blood stasis and other evil, TIA development The risk factors for cerebral infarction are cerebrovascular stenosis, history of cerebral infarction, senile hypertension, long duration of TIA onset, combination of traditional Chinese medicine (TCM) such as phlegm, nourishing yin, It can prevent and treat the aura of stroke, improve the prognosis of TIA, reduce the development of TIA to cerebral infarction and predict the long-term prognosis of TIA. It is hoped to pay attention to the early intervention of traditional Chinese medicine for TIA and improve the long-term prognosis of TIA.