【摘要】 目的　分析本院非心脏瓣膜病房颤患者 ,未服用华法令 ,应用阿斯匹林剂量不超过 30 0mg·d-1,而导致脑卒中的发生率及危险因素。方法　对 1992～ 1999年广东省心血管病研究所住院的 6 34例非心脏瓣膜病心房颤动患者 ,其中 6 8例发生脑卒中作了回顾性临床总结分析。结果　脑卒中的发生率为 10 .73 % ,其中致残的和死亡的发生率分别为 7.35 %和 14.71% ,证实了非心脏瓣膜病房颤患者导致脑卒中的风险不容忽视 ,其中高血压、糖尿病、既往有血栓栓塞或中风史、冠心病、年龄增大、心肌病、心脏扩大、甲状腺机能亢进、经常吸咽等作为危险因素增加了房颤患者发生脑卒中的危险。更多还原

【Abstract】 Objective To investigate the incidence and risk factors of cerebral apoplexy in non vavular heart disease patients with atrial fibrillation who took no more than 300 mg·d -1 aspirine and no warfarin Methods Data of 634 in patients in Guangdong provincial cardiovascular institute～with non vavular heart disease and atrial fibrillation from 1992 to 1999 were collected, among which, 68 patients suffered from cerebral apoplexy and retrospective analysis were done on these patients.Results The incidence of cerebral apoplexy were 10.73 %, among which the rates of handicap and mortality were 7.35% and 14.71% respectively. The histories of hypertension, diabetes, embolism, apoplexy, coronary arterial disease, old in age, cardiomyopathy, cardiac dilation, hyperthyroidism and smoking as some risk factors increased the incidence of apoplexy.更多还原