心房纤颤致50例大面积脑梗死临床分析

目的分析与探讨心房纤颤导致大面积脑梗死的临床表现与治疗后预后影响。方法选取本院2009年1月至2012年1月期间收治的心房纤颤患者共50例,对其临床资料进行回顾性分析,以总结心房纤颤导致大面积脑梗死的临床表现。结果 50例患者绝大多数具有以下一些特点:①均为突然发病。②患者症状多种多样且主要以神经系统损害为具体表现。③通过CT检查可发现患者多个部位的脑梗死灶。结论心房纤颤对于大面积脑梗死而言是高危因素,且一旦心房纤颤患者发生大面积脑梗死后病情危重者居多,预后较差。临床上医生应对此类患者具有预见性,以防止病情恶化,影响其生活乃至生命。

Objective To analysis and discuss the clinical manifestation and influence prognosis of treatment for the large area cerebral infarction caused by atrial fibrillation.Methods To summarize the clinical manifestation for the large area cerebral infarction caused by atrial fibrillation, retrospective analysis of clinical data was made on 50 patients with atrial fibrillation in our hospital between January of 2009 and January of 2012.Results Clinical signs of the major patients include some characteristics next：①All of a sudden onset.②Among varies of Clinical signs on 50 the patients, damage in nervous system is observed commonly.③Large numbers of cerebral infarction in different area were observed through CT technology.Conclusion Atrial fibrillation is a high risky factor for the large area cerebral infarction patients. And atrial fibrillation patients with large area cerebral infarction are more serious with a bad influence on the prognosis of treatment. In order to avoid the exacerbation which can influence their daily life and even their lives, doctors should pay more attention to the foreseeability of such patients.