房颤并发脑栓塞患者的临床特点和防治措施研究  

Study on clinical characteristics and prevention measures of patients with atrial fibrillation complicated with cerebral embolism

作　　者：温晓俐 WEN Xiao-li(Inner Mongolia Autonomous Region People's Hospital,Hohhot 010000,China)

机构地区：[1]内蒙古自治区人民医院,010000

出　　处：《中国实用医药》2025年第4期86-88,共3页China Practical Medicine

摘　　要：目的研究心房颤动(房颤)并发脑栓塞的临床特点以及防治措施。方法回顾性分析50例房颤并发脑栓塞患者的临床资料,统计其性别、年龄分布情况,分析临床表现、脑CT检查结果以及治疗结局。结果50例房颤并发脑栓塞患者中男性比例高于女性,且多为高龄患者;24例在活动时发病,13例在安静时发病,8例在睡眠时发病,5例发病时状况不明;20例为完全前循环梗死,27例为部分前循环梗死,3例为后循环梗死;23例累及左半球,27例累及右半球;47例存在肢体偏瘫,21例存在意识障碍,13例双眼同向凝视,4例失语;19例为大面积脑梗死,21例中梗死,10例小梗死;梗死灶在大脑中动脉供血区的有41例,在大脑中动脉和大脑后动脉交际区的有9例;治疗有效37例,无效9例,家属放弃治疗4例,治疗有效率为74.00%。结论房颤并发脑栓塞以高龄和男性为主要人群,临床需要加强高危人群的预防,积极进行抗凝治疗,并控制国际标准化比值(INR)于正常范围内,帮助抗凝治疗患者预防脑栓塞,且进行超早期溶栓可能效果更好。Objective To study the clinical characteristics and prevention measures of patients with atrial fibrillation complicated with cerebral embolism.Methods The clinical data of 50 patients with atrial fibrillation complicated with cerebral embolism were retrospectively analyzed,and their gender and age distribution were statistically analyzed.The clinical manifestations,brain CT results and treatment outcomes were analyzed.Results Among 50 patients with atrial fibrillation complicated with cerebral embolism,the proportion of males was higher than that of females,and they were mostly elderly patients;24 cases occurred during activity,13 cases occurred during rest,8 cases occurred during sleep,and 5 cases occurred with unknown conditions;20 cases had total anterior circulation infarction,27 cases had partial anterior circulation infarction,and 3 cases had posterior circulation infarction;23 cases involved the left hemisphere and 27 cases involved the right hemisphere;47 cases had limb hemiplegia,21 cases had consciousness disorders,13 cases had binocular gaze,and 4 cases had aphasia;19 cases had extensive cerebral infarction,21 cases had moderate cerebral infarction,and 10 cases had small cerebral infarction;there were 41 cases of infarction in the middle cerebral artery blood supply area,9 cases in the middle cerebral artery and the posterior cerebral artery communication area;treatment was effective in 37 cases,ineffective in 9 cases,family members gave up treatment in 4 cases,the effective rate was 74.00%.Conclusion Atrial fibrillation complicated with cerebral embolism mainly occurs in the elderly and males.It is necessary to strengthen the prevention of high-risk groups,actively carry out anticoagulation therapy,and control the international normalized ratio(INR)within the normal range.This can help anticoagulant therapy patients prevent cerebral embolism,and early thrombolysis may be more effective.

关 键 词：心房颤动 脑栓塞 临床特点 防治措施 

分 类 号：R54[医药卫生—心血管疾病]