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目的分析脑栓塞的临床诊治方法及效果。方法 80例脑栓塞患者作为研究对象,对患者的临床资料进行回顾性分析,观察脑栓塞出现的原因、临床表现与治疗的结果。结果心房纤颤的患者58例,占72.5%;风湿性心脏瓣膜病且伴有心房纤颤的患者18例,占22.5%;非风湿性心脏瓣膜伴心房纤颤的患者10例,占12.5%;经过头颅磁共振检查方式检出大面积脑梗死患者56例,占70.0%;合并性出血性梗死病症的患者20例,占25.0%。栓塞部位在颈内动脉系统的患者30例,栓塞部位在左侧大脑中动脉的患者20例,栓塞部位在右侧大脑中动脉的患者10例,栓塞部位在椎底动脉系统的患者20例。经治疗,显效患者36例,占45.0%;有效患者39例,占48.8%;无效患者5例,占6.3%。总有效率为93.8%。结论根据脑栓塞患者临床表现的特征,对患者实施脱水、降低颅内压、改善脑细胞代谢等进行治疗,临床治疗效果显著,值得临床推广与应用。
Objective To analyze the clinical diagnosis and treatment of cerebral embolism and its effect. Methods Eighty patients with cerebral embolism were investigated. The clinical data of the patients were retrospectively analyzed. The causes, clinical manifestation and treatment of cerebral embolism were observed. Results Fifty-eight patients (72.5%) had atrial fibrillation, 18 patients (22.5%) had rheumatic valvular heart disease accompanied by atrial fibrillation, and 10 patients (12.5%) had non-rheumatic heart valve with atrial fibrillation 56 cases (70.0%) of patients with large-area cerebral infarction were detected by head magnetic resonance imaging; 20 cases (25.0%) had complicated hemorrhagic infarction. There were 30 patients with embolism in the internal carotid artery, 20 patients with embolization in the left middle cerebral artery, 10 patients with embolization in the right middle cerebral artery, and 20 patients with embolization in the vertebral artery. After treatment, 36 cases were markedly effective, accounting for 45.0%; 39 cases were effective, accounting for 48.8%; 5 cases were ineffective, accounting for 6.3%. The total effective rate was 93.8%. Conclusion According to the characteristics of clinical manifestations of patients with cerebral embolism, patients with dehydration, reduce intracranial pressure, improve brain cell metabolism for treatment, clinical treatment effect is significant, worthy of clinical promotion and application.