急性血栓性和栓塞性大脑中动脉M1段闭塞的临床研究Clinical study on acute cardio embolism and thrombotic MCAO infarction
焦晓东,王栋,张新江
摘要(Abstract)：
目的研究急性血栓性和心源性栓塞性大脑中动脉闭塞(MCAO)的临床特点的差异。方法选择5年内急诊住院的被磁共振血管成像(MRA)证实为急性大脑中动脉M1段急性闭塞的患者67例,其中血栓组45例,栓塞组22例,在未接受溶栓治疗的情况下,比较分析两种病因导致的MCAO患者危险因素,入院时及发病后14 d NIHSS评分,出血性转化发生率。结果血栓性MCAO患者年龄小于栓塞性MCAO患者;入院当日血栓形成患者NIHSS评分(6.42±3.38)显著小于栓塞性患者(11.67±8.50),P<0.01,14 d时这种差别仍然存在;栓塞组出血性转化率显著高于血栓形成组。结论栓塞性MCAO患者发病年龄大,临床症状重,预后不良,强烈建议开展超早期的动脉溶栓。
关键词(KeyWords)： 脑梗死;栓塞性;动脉粥样硬化;大脑中动脉闭塞
基金项目(Foundation):
作者(Author): 焦晓东,王栋,张新江
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