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目的通过房颤舌并血栓拴塞120例临床分析,指导今后房颤患者正规的预防血栓拴塞治疗。方法对我院2004年1月至2008年4月内科住院的120例房颤合并血栓拴塞患者的危险因素、临床表现、影像学所见以及转归,进行回顾性分析。结果 120例均是器质性心脏损害合并持续性房颤;脑血栓栓塞106例(88.3%)、外周血栓栓塞14例(11.7%);63%未抗凝治疗,31%不正规抗凝治疗,仅6%正规抗凝治疗;致残76例(63.3%),死亡及自动出院13例(10.8%)。结论房颤是血栓拴塞的独立危险因素,预防房颤引起的血拴拴塞事件是房颤治疗的重要环节。
Objective Through atrial fibrillation tongue and thrombosis of 120 cases of clinical analysis to guide the future of patients with atrial fibrillation prevention of thrombosis embolism. Methods A retrospective analysis was performed on the risk factors, clinical manifestations, imaging findings and outcomes of 120 patients with atrial fibrillation and thrombus embolism who were hospitalized in our hospital from January 2004 to April 2008. Results All 120 patients had organic cardiac injury with persistent atrial fibrillation. Sixty-six patients (88.3%) had cerebral thromboembolism and 14 (11.7%) had peripheral thromboembolism. Sixty-five percent had no anticoagulant therapy and 31% did not receive formal anticoagulation , Only 6% of the regular anticoagulant therapy; 76 cases (63.3%) were disabled, 13 cases (10.8%) died and discharged automatically. Conclusion Atrial fibrillation is an independent risk factor for thrombus embolism. Prevention of thrombosis caused by atrial fibrillation is an important part of AF treatment.