伴发房颤的急性缺血性脑卒中病因分析

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1、授予单位代码10089学号或申请号20153198中国图书分类号R743.3HebeiMedicalUniversity硕士学位论文专业学位伴发房颤的急性缺血性脑卒中病因分析研究生：冉冀娜导师：刘亚玲教授专业：神经病学二级学院：河北医科大学第二医院2018年3月目录中文摘要··········································································································1英文摘要···

2、·······································································································2英文缩写··········································································································3研究论文伴发房颤的急性缺血性脑卒中病因分析前言·············

3、·····························································································4材料与方法······························································································5结果·······················································

4、···················································8附图··········································································································10附表·······················································································

5、···················13讨论··········································································································15结论··········································································································18参考文献······

6、····························································································18综述伴发房颤的急性缺血性脑卒中研究进展············································23致谢··························································································

7、························33个人简历··········································································································34中文摘要伴发房颤的急性缺血性脑卒中病因分析摘要目的：分析伴发房颤的急性缺血性脑卒中患者脑梗死的机制。方法：回顾性分析河北医科大学第二医院167例伴发房颤的急性缺血性脑卒中患者的一般资料，MRA/CTA、颈部血管超声的血管资料及

8、头颅MRI/DWI特征，依据MRI/DWI特征对照CISS分型标准对患者进行发病机制分型，并分析各分型患者临床特点。结果：167例患者中，心源性栓塞患者111例（66.47%），非心源性栓塞患者56例（33.53%），其中包括分水岭梗死患者13例（7.78%），穿支动脉梗死患者18例（10.78%），不明原因的梗死患者25例（14.97%），在心源性栓塞患者中，重度动脉狭窄患者35例（31.53%）；非心源性栓塞患者中，重度动脉狭窄患者33例（58.93%）。两者之间具有统计学差异