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目的探讨老年人心房颤动致脑栓塞的临床特点、栓塞部位、治疗及预后。方法对64例老年人心房颤动致脑栓塞患者的临床资料进行回顾性分析。结果老年人心房颤动致脑栓塞栓塞部位以大脑中动脉(45例)最常见,栓塞面积大,病情重,致残率(58%)、致死率(28%)高。结论心房颤动是老年人脑栓塞的常见原因,积极抗凝治疗可以有效防止脑栓塞的发生。
Objective To investigate the clinical characteristics, embolism location, treatment and prognosis of cerebral embolism caused by atrial fibrillation in the elderly. Methods The clinical data of 64 elderly patients with cerebral embolism caused by atrial fibrillation were analyzed retrospectively. Results The middle cerebral artery embolization caused by atrial fibrillation in the elderly was the most common. The embolization area was 45%, the embolism area was large, the disease rate was 58%, and the lethal rate was 28%. Conclusions Atrial fibrillation is a common cause of cerebral embolism in the elderly. Active anticoagulant therapy can effectively prevent the occurrence of cerebral embolism.