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非风湿性心房纤颤病人发生缺血性卒中是由于多种机理所致,包括心原性栓塞。本研究从1330名非风湿性心房纤颤病人的既往病历中筛选出71例卒中病人。将其划分为心脏栓子性卒中(46例、65％)、非心脏栓子性卒中(13例、18％)和原因不明性卒中(12例、17％)三大类,并对每种卒中病人进行了临床、超声心动图以及阿司匹林预防作用的比较。 结果:71例病人均为缺血性卒中。其中,安慰剂组42人;阿司匹林组23人;华法令组6人。71人中70人做了CT和MRI,证实缺血病因,另1人动脉
Ischemic stroke in patients with non-rheumatic atrial fibrillation is due to a variety of mechanisms, including cardiogenic embolism. In this study, 71 stroke patients were screened from the past medical records of 1,330 non-rheumatic atrial fibrillation patients. They were divided into three categories: cardiac embolism stroke (46 cases, 65%), non-cardiac embolism stroke (13 cases, 18%) and unexplained stroke (12 cases, 17% Stroke patients underwent clinical, echocardiographic and aspirin prophylaxis comparison. Results: All 71 patients were ischemic stroke. Among them, 42 patients in the placebo group, 23 in the aspirin group and 6 in the warfarin group. Seventy-one of 70 people underwent CT and MRI, confirming the cause of ischemia and another artery