心房纤颤引发急性脑梗死的临床分析
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摘 要：目的 探讨心房纤颤(atrial fibrillation，Af)引发急性脑梗死的临床特点。方法 回顾性分析2011年9月~2014年2月收治的137例心房纤颤心房纤颤患者的临床资料，对其中73例突发急性脑梗死患者从年龄构成、Af的临床分型、临床表现及病因进行了探讨。结果 心房纤颤引发急性脑梗死的患者占17.43%，其中男性所占比例较大，年龄分布于73~81岁者居多，83%为持续性心房纤颤，76%的脑梗死患者为颈内动脉系统，临床表现相对较重，死亡率高达17%。结论 心房纤颤是急性脑梗死患者发病的重要危险因素，其致残率及致死率较高，应早发现、早诊断，同时早期给与必要的临床干预，能减少急性脑梗死的发病率。 关键词：心房纤颤 急性脑梗死 颈内动脉系统Clinical Analysis Of atrial Fibrillation Caused by Acute Cerebral Infarction Abstract: Objective atrial fibrillation (atrial fibrillation, Af) lead to clinical features of acute cerebral infarction. Methods Retrospective analysis of clinical data in September 2011 - February 2014 treated 137 cases of atrial fibrillation patients, of which 73 cases of sudden acute cerebral infarction patients from the age composition, Af clinical classification, clinical manifestations and etiology are discussed. The results lead to atrial fibrillation in patients with acute cerebral infarction accounted for 17.43%, of which a large proportion of men aged 73 to 81 years distributed majority, 83% of persistent atrial fibrillation, 76% of patients with cerebral infarction as carotid arterial system, the clinical manifestations are relatively heavy, the mortality rate as high as 17% ......
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