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本文研究了各种类型的心脏病伴房颤的患者368例,并以不伴有房颤的心脏病患者399例为对照,前者发生脑栓塞为115例,占31.3%,后者为37例,占9.3%。心脏病伴房颤的患者中,脑栓塞的发生率分别为风湿性心脏病32.5%,缺血性心脏病31.6%,风湿性心脏病合并缺血性心脏病38.6%,其它类型心脏病23.9%。风湿性心脏病患者中非老年脑栓塞的发生率明显高于老年(37.3%>20.6%),缺血性心脏病患者中老年脑栓塞的发生率高于非老年。
In this paper, 368 patients with various types of heart disease and atrial fibrillation were studied. The control group included 399 patients with heart disease without atrial fibrillation. The former had 115 patients (31.3%) with cerebral embolism, the latter being 37 cases, accounting for 9.3%. Among patients with heart disease and atrial fibrillation, the incidence of cerebral embolism was 32.5% for rheumatic heart disease, 31.6% for ischemic heart disease, 38.6% for rheumatic heart disease and ischemic heart disease, Other types of heart disease 23.9%. The incidence of non-elderly cerebral embolism in patients with rheumatic heart disease was significantly higher than that in the elderly (37.3%> 20.6%). The incidence of cerebral infarction in middle-aged and elderly patients with ischemic heart disease was higher than that in non-elderly patients.