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1987年3月至1992年4月,我院收治36例老年人心房纤颤(atrial fibrillation,Af)并发脑梗塞患者,经临床回顾性分析,结果显示66.7％(24/36)患者分布于60～69岁年龄组;91.7％(33/36)患者为非风湿性心脏瓣膜病变的Af,83.3％(30/36)患者伴有高血压及/或冠心病史。脑梗塞的血管分布全部位于颈内动脉供血区。老年人Af并发脑梗塞后,病死率及致残率均较高,并可多次复发。预防和治疗老年人Af性脑梗塞,应在抗血小板凝集、改善血液粘稠度的同时,积极治疗Af的基础疾病。
From March 1987 to April 1992, 36 elderly patients with atrial fibrillation (Af) complicated by cerebral infarction were admitted to our hospital. According to the clinical retrospective analysis, 66.7% (24/36) of the patients were located in 60 ~ 69 years of age group; 91.7% (33/36) of patients with non-rheumatic heart valve disease Af, 83.3% (30/36) patients with history of hypertension and / or coronary heart disease. The vascular distribution of cerebral infarction all located in the carotid artery supply area. Af in the elderly with cerebral infarction complicated by fatality and morbidity were higher, and multiple relapse. Prevention and treatment of Af elderly cerebral infarction, should be in the anti-platelet aggregation, improve blood viscosity, while actively treating the underlying diseases of Af.