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目的探讨基底动脉尖综合征(TOBS)的临床特点和治疗效果。方法回顾性分析11例患者的临床资料。结果 11例中不同程度意识障碍9例占81.8%;同时伴有经眼球运动障碍、瞳孔异常9例。经积极治疗后好转5例、改善3例、恶化后自动出院2例、死亡1例。头颅CT或头MRI确诊3处病灶以上的有8例占72.7%。结论高血压糖尿病、心脏疾患是本病最常见的危险因素,大多数病情呈进展性,预后不良,死亡率高。应尽早诊断,积极有效的处理脑梗死可改善TOBS的预后。
Objective To investigate the clinical features and treatment of basilar artery syndrome (TOBS). Methods The clinical data of 11 patients were retrospectively analyzed. Results 11 cases of different degrees of disturbance of consciousness in 9 cases accounted for 81.8%; accompanied by oculomotor disorders, pupillary abnormalities in 9 cases. After active treatment, 5 cases improved, 3 cases improved, 2 cases were discharged automatically after the deterioration and 1 case died. Head CT or head MRI confirmed more than 3 lesions in 8 cases accounted for 72.7%. Conclusion Hypertensive diabetes and heart disease are the most common risk factors for this disease. Most of the patients are advanced, with poor prognosis and high mortality. Should be diagnosed as soon as possible, and effective treatment of cerebral infarction can improve the prognosis of TOBS.