89例心源性脑栓塞患者的临床分析

摘要

ObjectiveTo investigate the cardiogenic cerebral embolism (CCE) pathogenic factors and clinical therapeutic effect. Methods89 patients with cardiogenic cerebral embolism treated in our hospital from April 2013 to July 2014 were retrospectively analyzed, related pathogenic factors of cardiogenic cerebral embolism were summarized, and the clinical curative effect was analyzed.Results The common disease of cardiogenic cerebral embolism were: 35 cases of atrial fibrillation were (39.3%), 29 cases with valvular disease were (32.6%), 13 cases of myocardial infarction were (14.6%), the other 12 cases were (13.5%); by symptomatic treatment, the total effective rate reached 95.5%. Conclusion The cause of cardiogenic cerebral embolism (CCE) many factors, of which the main pathogenic factor is the atrial fibrillation and heart valve disease, clinical should be targeted at the prevention and treatment, improve the clinical efficacy, improve survival and quality of life.%目的：探讨心源性脑栓塞的致病因素和临床治疗效果。方法回顾性分析2013年4月~2014年7月间收治的89例心源性脑栓塞患者的临床资料，总结和归纳心源性脑栓塞的相关致病因素，并分析临床疗效。结果心源性脑栓塞的常见病有：心房纤颤35例（39.3%）、心瓣膜病29例（32.6%）、心肌梗死13例（14.6%）、其他12例（13.5%）；通过对症治疗后，总有效率达到95.5%。结论导致心源性脑栓塞的因素较多，其中主要致病因素是心房纤颤动和心瓣膜病，临床中应该给予针对性的预防和治疗，提高临床疗效，改善患者的生存和生活质量。