126例心源性脑栓塞的临床分析

目的 探讨防治心源性脑栓塞的有效方法。方法 对我院126例心源性脑栓塞病例的临床及影像学资料进行回顾性分析。结果 心脏性脑栓塞最常见的原发病为风湿性心脏病（57.9%），共次为冠心病（17.8%）。805的病人有房颤或房扑等心律失常，口服过华法令的患者仅20.8%。69.8%的病例为大面积脑梗死，3/4在颈内动脉系统，梗死后出血率28.8%，全组死亡率12.7%。结论 各种原因所致房颤是心源性脑栓塞的主要危险因素，梗死多为大面积。口服华法令用量不足可能是抗凝治疗患者发生脑栓塞的原因之一。治疗房颤是预防脑栓塞的重要措施，应加大华法令的用量。

Clinical analysis of 126 patients with cardiogenic cerebral embolism

Objective To explore the effective methods of prevention and treatment in patients with cardiogenic crebral embolism(CCE).Methods To analysis the clinical and CT scan data of 126 patients with CCE.Results The most common cause of CCE was rheumatic heart disease (57.9%) coronary heart disease is recondary(17.8%).80% of them complicatied arrhythmia (atrial fibrillation and atrial flutter),only 20.8% took warfarin,69.8% suffered larger area of cerebral in farction,28.8% with a heamorrhage after infarction.The total mortality was 12.7%.Conclusions Atrial fibrillation is a strang risk factor of cardiogenic infarction with larger infarction area.Insufficient of treatment with warfarin may be one of the causes of cerebral embolism in the anticoagulant treatment.The treatment of atrial fibrillation was a key factor for the prevention of cerebral embolism.We should pay more attention to the use of warfarin to these patients.