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目的探讨心源性脑栓塞(cardiogenic cerebral embolism,CCE)的临床特点及防治策略。方法对72例心源性脑栓塞患者临床资料进行回顾性分析。结果本组2例心房黏液瘤转外院手术治疗。死亡24例(33.3%),院内死亡者20例,其中死于脑疝9例、急性左心衰竭7例、室颤2例、心脏骤停1例、全身衰竭1例,4例放弃治疗者于出院后数小时死亡。出院时生活不能自理11例,严重致残率为15.3%;生活能够自理或部分自理37例,占51.3%。结论及早发现病因,积极有效预防各种原发心脏疾病,减少或消除栓子来源,可显著减少CCE的发生。
Objective To investigate the clinical features and control strategies of cardiogenic cerebral embolism (CCE). Methods The clinical data of 72 patients with cardiogenic cerebral embolism were retrospectively analyzed. Results The group of 2 cases of atrial myxoma surgery outside the hospital. There were 24 deaths (33.3%), 20 deaths in hospital, 9 died of herniation, 7 cases of acute left heart failure, 2 cases of ventricular fibrillation, 1 case of cardiac arrest, 1 case of systemic failure and 4 cases of abandonment of treatment A few hours after discharge from hospital. Discharged 11 cases of life can not take care of themselves, severe disability rate was 15.3%; life can take care of themselves or partially 37 cases, accounting for 51.3%. Conclusion Early detection of etiology, active and effective prevention of a variety of primary heart disease, reduce or eliminate the source of emboli, can significantly reduce the occurrence of CCE.