心源性脑栓塞48例临床分析  

CLINICAL ANALYSIS OF 48 CASES OF CARDIOGENIC CEREBRAL EMBOLISM

作　　者：魏大萍[1] 陈峰[1] 雷雪[1] 

机构地区：[1]广元市第二人民医院神经内科,四川广元628000

出　　处：《泸州医学院学报》2011年第4期419-420,共2页Journal of Luzhou Medical College

摘　　要：目的:探讨心源性脑栓塞(CCE)的临床特点、栓塞部位和预后。方法:对48例心源性脑栓塞患者临床资料进行回顾性分析。结果:治愈14例(29%);好转26例(54%);死亡8例(17%),其中死于脑疝4例,急性左心衰竭2例,心脏骤停1例,1例放弃治疗者于出院后死亡。出院时生活不能自理8例,严重致残率为20%;生活能够自理或部分自理32例,占80%。结论:风湿性心脏病伴心房纤颤是心源性脑栓塞的主要病因,积极纠正和预防各种原发心脏疾病,减少或消除栓子来源,可减少CCE的发生。Objective：To study the clinical features,prognosis,and embolic site of cardiogenic cerebral embolism.Methods：48 cases of patients with cardiogenic cerebral embolism were retrospectively analyzed.Results：14 cases were cured（29%）;26 cases improved（54%）;8 patients died（17%）,of which 4 died of cerebral hernia,2 of acute left ventricular failure,1 of cardiac arrest,1 giving up treatment and dieing after discharge from hospital.8 cases can not take care of themselves,severe disability 20%;32 cases can completely or partly take care of themselves（80%）.Conclusion：Rheumatic heart disease with atrial fibrillation is the main cause of cerebral embolism.Positive correction and prevention of primary cardiac disease,and reducing or eliminating sources of emboli can reduce the occurrence of CCE.

关 键 词：心源性 脑栓塞 治疗 

分 类 号：R734.2[医药卫生—肿瘤]