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大家公认各种器质性心脏病(HD)、心房纤颤(Af)、心内膜血栓(Th)与各种重症脑栓塞的发病有着密切的因果关系。但是相反是否各种心脏病变都与重症脑栓塞的发病有关呢?尚未研究。本文对经脑血管造影及CT扫描诊断为幕上性缺血性脑血管障碍的346例病人,并经心电图及双维超声心动图检查,重点是有无HD、Af、Th三种病变。根据其有无分为四组,来对比CT扫描所见大栓塞区(即栓塞范围大于大脑中动脉)的出现率。
It is acknowledged that various organic heart diseases (HD), atrial fibrillation (Af) and endocardial thrombosis (Th) have a close causal relationship with various types of severe brain embolism. But on the contrary whether a variety of heart disease are associated with the incidence of severe cerebral embolism has not been studied. In this paper, 346 patients diagnosed as supratentorial ischemic cerebrovascular disease by cerebral angiography and CT scan were examined by electrocardiogram and two-dimensional echocardiography with the focus on the presence of HD, Af, Th. According to their presence or absence is divided into four groups, to compare the CT scan showed a large embolic area (ie embolization range than the middle cerebral artery) incidence.