关键词: 脑缺血发作; 短暂性; 病史记录; 危险因素; 预后

Abstract: Objective Researching in youth transient ischemic attack(TIA)(18-45 years old) in our hospital, toanalyze its risk factors and prognosis, in order to guide clinical treatment.Methods To analyze the clinical data of the patients retrospectively, The patients were dividedinto young group(n =22), middle-aged and above group(n =44), to compare their previous history,TIA vascular risk events within the 7 d, cerebrovascular disease risk factors and related inspectionindicators between the two groups.Results Smoking history in young group is longer than in middle-aged and above group(P <0.01);Diabetes history in young group is shorter than in middle-aged and above group(P <0.01); weight,cholesterol(P =0.022), low density lipoprotein cholesterol(P =0.04) level are higher than in middleagedand above group(P =0.03, 0.022, 0.44 respectively); High-density lipoprotein cholesterol,fasting blood glucose, plasma fibrinogen level in young group are lower than in middle-aged andabove group(P =0.014, 0.009, 0.048 respectively); TIA vascular risk events within the 7 d have nostatistical difference; but the incidence is much higher in middle-aged and above group(over 45years).Conclusions We speculate that major risk factors in youth TIA include weight, cholesterol, lowdensity lipoprotein cholesterol and smoking history. Diabetes history and higher fibrinogen mayhave more impact on TIA patients over 45 years, comparing with young group.

Key words: Ischemic attack; transient; Medical history taking; Risk factors Prognosis