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目的对接受溶栓治疗的心源性脑栓塞患者进行分析,探讨溶栓治疗的有效性。方法分析24例溶栓治疗CCE患者的病因、静脉溶栓时机、年龄等指标。结果 24例CCE患者病因多样。4例治愈,显效5例,好转7例,无效8例,其中2例细菌性心内膜炎及1例心肌黏液瘤患者治疗无效。治愈患者与无效患者年龄比较,差异有统计学意义(P<0.05),且发病时间明显短于其他疗效患者(P<0.01)。结论早期心源性脑栓塞溶栓疗效肯定,但受病因及发病时间的影响。
Objective To analyze the patients with cardiogenic cerebral embolism treated by thrombolytic therapy and discuss the effectiveness of thrombolytic therapy. Methods Twenty-four patients with CCE treated by thrombolysis were analyzed for etiology, timing of thrombolysis, and age. Results 24 cases of CCE patients with various causes. 4 cases were cured, 5 cases markedly improved, 7 cases improved, 8 cases ineffective, 2 cases of bacterial endocarditis and 1 case of myocardial myxoma treatment ineffective. There was significant difference in the age of cured patients and invalid patients (P <0.05), and the onset time was significantly shorter than other patients (P <0.01). Conclusion Early thrombolytic therapy of cardioembolism affirmed, but the etiology and pathogenesis of time.