心源性脑栓塞  

Cardiogenic brain embolism

作　　者：陆振康[1] 谢红妹[1] 陈海萍[1] 

机构地区：[1]上海铁道大学附属甘泉医院神经内科,200065

出　　处：《脑与神经疾病杂志》1997年第1期8-11,共4页Journal of Brain and Nervous Diseases

摘　　要：心源性脑栓塞（CBE）国内系统报道很少。本文分析了46例CBE的临床资料。其发生率为全部脑梗塞病例的10．4％（46／444）。无办膜病性房颤，风心瓣膜病及心肌梗塞是本病的主因．临床表现以偏瘫，各种失语症和意识障碍为主．CT阳性率为95．7％，多表现大脑中动脉供血区的大面积脑叶梗塞（71．7％），其中约1／4病例表现为出血性梗塞，但两半球受累机会相同。死亡率为21．7％．结合文献讨论了CBE的临床和CT特征及其治疗。So far cardiogenic brain embolism (CBE) has rarely been reported systematically in China. Forty-six cases of CBE were clinically analysed. Of all acute cerebral infarctions, the incidence of CBE accounted for 10. 4% (46/444). Nonvalvular atrial fibrillation, rheumatic valvular heart disease and myocardial infarction were the main causes of CBE. The clinical manifestations were mainly characterized by hemiplegia, various types of aphasia and consciousness disturbance. The positivity rate of CT scanning was 95. 7%. The image predominantly exhibited massive lobar cerebral infarction (71.7K), basically evenly distributed in the regions supplied blood by each middle cerebral attery, more than one fourth of the infarctions being hemorrhagic ones. The mortality rate of CBE was 21. 7%. The clinical and CT features and its treatment wre discussed with a review of some Pertinent literature.

关 键 词：心脏病 脑梗塞 心源性脑栓塞 

分 类 号：R541.06[医药卫生—心血管疾病] R743.33[医药卫生—内科学]