Desbordes P, Orgogozo J M
Clinique Neurologique, Hôpital Pellegrin, Bordeaux.
Ann Cardiol Angeiol (Paris). 1988 May;37(5):259-63.
Embolisms of cardiac origin represent approximately 15 p. cent of the causes of cerebral vascular accidents. This article considers the difficult diagnostic and therapeutic problems raised by cerebral embolisms. First: arguments permitting to suspect this mechanism in the absence of an obvious cardiac cause or in the presence of a high incidence heart disease but low embolic potential. The main etiologies are then reviewed emphasizing the evolution of their respective frequencies, then a program of additional investigative examinations is suggested. Finally the indication of anticoagulants is discussed according to neurological and cardiologic criteria.
心脏源性栓塞约占脑血管意外病因的15%。本文探讨了脑栓塞引发的诊断和治疗难题。首先：在无明显心脏病因或存在高发性心脏病但栓塞风险较低的情况下，有哪些依据可怀疑存在这种机制。接着回顾了主要病因，强调了其各自发生率的变化，随后提出了一系列进一步检查的方案。最后，根据神经学和心脏病学标准讨论了抗凝剂的使用指征。
