心源性脑栓塞72例临床分析

目的 探讨心源性脑栓塞(cardiogenic cerebral embolism,CCE)的临床表现、治疗及预后.方法 对72例CCE患者临床资料进行分析.结果 72例CCE中56例为60岁以上老年人,占77.8%;非瓣膜病变的心房颤动(NVAF)所致占83.3%;左侧大脑中动脉(LMCA)栓塞占52.8%;栓塞性出血占19.4%;死亡占8.33%.结论 心房颤动(AF)是CCE的主要病因,CCE预后不良,对AF患者进行抗凝治疗可有效控制栓塞的发生.

Clinical analysis of 72 cases with cardiogenic cerebral embolism

Objective To evaluate the clinical symptoms,therapy and prognosis of cardiogenic cerebral embolism(CCE).Methods Clinical date of 72 patients with CCE were analyzed.Results 56 cases of CCE were over 60 years old men,which take up 77.8% ;non valvar atrial fibrillation (NVAF) 83.3% ;left medial cerebral arteria embolism 52.8% ;embolism hemorrhagic 19.4% ;death takes up 8.33%.Conclusion Atrial fibrillation is the main cause of the CCE,prognosis of CCE is not good,anticoagulant is an effective treatment for atrial fibrillation patients,it can avoid cerebral embolism.