【摘要】 目的探讨伴有心房颤动(房颤)的大面积脑梗死患者临床特点及预后。方法对2006年1月—2009年12月间伴有房颤的大面积脑梗死患者68例,进行临床特点分析及影响预后因素比较。结果非瓣膜病性房颤在大面积脑梗死中最为常见。高龄、意识障碍、病变面积大、并发症多是死亡的主要因素(P<0.05)。结论非瓣膜性房颤引起的大面积脑梗死较瓣膜性多见,抗凝治疗及控制危险因素,减少并发症可减少大面积脑梗死的发生及改善预后。更多还原

【Abstract】 Objective To probe into the clinical features and prognosis of large area cerebral infarction with atrial fibrillation. Methods The clinical features and prognosis of 68 patients with large area cerebral infarction and atrial fibrillation were analysed and compared, these patients were admitted during Jan. 2006 to Dec. 2009. Results Nonvalvular atrial fibrillation was the commonest cause of large area cerebral infarction. Senility, unconsciousness, large pathological size and complications were major causes of death. Conclusion Large area cerebral infarction caused by nonvalvular atrial fibrillation is common compared with those caused by valvular atrial fibrillation. Anticoagulation, control the risk factors and reduce complications can reduce the occurrence and improve prognosis of large area cerebral infarction.更多还原