老年心源性脑栓塞临床分析（附48例临床报告）

Clinical analysis of cardiogenic cerebral embolism in elderly patients （48 cases report）

目的探讨老年人心源性脑栓塞的临床特点。方法对确诊的48例老年心源性脑栓塞患者的临床资料进行回顾性分析。结果老年人心源性脑栓塞的最常见病因为房颤，其临床表现较重、并发症多见，治疗效果与脑血栓相比差异有统计学意义（P均〈0．05）。结论预防心源性疾病、积极治疗房颤对预防老年心源性脑栓塞有积极的意义。

Objective To study the clinical features of elderly patients with cardiogenic cere- bral embolism. Methods The clinical data of 48 patients with cardiogenic cerebral embolism were retrospectively analyzed. Results The most common reason of elderly patients with cardiogenic cer- ebral embolism was atrial fibrillation, and the clinical manifestations were severe, there were more complications, the therapeutic efficacy was poorer than that of cerebral thrombosis, and there were significant differences （P 〈 0.05）. Conclusions It has great significance for preventing elderly patients with cardiogenic cerebral embolism that preventing cardiogenic diseases and actively treating atrial fibrillation.