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《Chinese Journal of Difficult and Complicated Cases》 2013-01
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The treatment and prognosis of TACI type of cardiogenic cerebral embolism caused by atrial fibrillation

MEI Rei, WANG Dong-shen.Department of Neurology,China Nuclear Industry Beijing 401 Hospital,Beijing 102413,China  
Objective To explore the treatment of total anterior circulation infarct(TACI)type of cardiogenic cerebral embolism(CE)caused by atrial fibrillation(AF).Methods Eighty-nine cases of TACI type of CE caused by AF were collected and divided into treatment group and control group.The differences in efficacy measurements between two groups were compared and analyzed.Results The mortality of treatment group(14.9%)was significantly lower than the control group(33.3%).The NIHSS score of the survivors in two groups was 8.47±4.42 vs.12.82±5.25(P 0.01).The good clinical outcome in treatment group(53.2%)is significantly higher than the control group(33.3%,P 0.01).No recurrence case in treatment group after 6 months,while 4 cases in the control group.Conclusion The ultra-early thrombolytic combined with intracranial pressure control and anticoagulant therapy can improve the treatment success rate in the TACI type CE caused by AF.
【CateGory Index】: R743.3
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