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目的 探讨心房纤颤对缺血性脑卒中临床表现、CT及预后的影响。方法 将 31例合并心房纤颤的急性缺血性脑卒中患者 (房颤组 )与 16 2例不合并心房纤颤的患者 (非房颤组 )进行对照分析。结果 房颤组神经功能缺损严重、意识障碍重、上消化道出血多 ;大面积脑梗死、中线移位、梗死后出血的发生率以及 1月内病死率均明显高于非房颤组 (P <0 .0 1)结论 房颤严重影响了缺血性脑卒中患者的临床及CT改变并影响其预后 ,是引起缺血性脑卒中独立和重要的危险因素。
Objective To investigate the effect of atrial fibrillation on the clinical manifestations, CT and prognosis of ischemic stroke. Methods 31 patients with acute ischemic stroke complicated with atrial fibrillation (AF group) and 162 patients without AF (non-AF group) were compared. Results Atrial fibrillation group had severe neurological deficit, heavy disturbance of consciousness and upper gastrointestinal tract hemorrhage. The incidence of large area cerebral infarction, midline shift, post-infarction hemorrhage and mortality in January were significantly higher than those in non-AF group (P <0 .0 1) Conclusions Atrial fibrillation seriously affects the clinical and CT changes of ischemic stroke patients and affects their prognosis. It is an independent and important risk factor for ischemic stroke.