脑梗死和心肌梗死并存者临床分析

A Clinical Analysis of Eighty Cases with Acute Myocardial Infarction and Cerebral Infarction

目的 探讨脑梗死和心肌梗死并存的临床特点。方法 回顾分析 80例心、脑梗死并存患者的临床资料。结果 两组有某些共同的危险因素。统计脑梗死和急性心肌梗死发病的时间间隔 ,在 2月以内的比例均较高 ,心、脑梗死组为 83 3% ,脑、心梗死组为 5 5 3% ,尤其以 2周之内突出 ,心、脑梗死组为 4 5 2 % ,脑、心梗死组为 34 2 %。心、脑梗死组右室心肌梗死伴发率及左室肥大、室壁瘤的比例均高于脑、心梗死组 ,而左室射血分数、入院时的舒张压均明显低于脑、心梗死组。两组年龄≥ 6 5岁患者住院病死率均明显增高 (P <0 0 5 )。结论 老年 (≥ 6 5岁 )可能是心、脑梗死和脑、心梗死预后危险因素 ,心肌梗死和脑梗死时应积极防治并发症 。

Objective To investigate the clinical characteristics of patients with acute myocardial infarction (AMI) and cerebrai infarction (CI). Methods Clinical data of eighty pa- tients with AMI and CI were analyzed retrospectively. Results The two groups shared some common risk factors. There was a higher proportion in onset time interval between the two diseases in the first two month, especially the first two weeks. Cardio-cerebral infarction group had a higher rate in concomitant right ventricular myocardial infarction, left ventricular hypertrophy and ventricular aneurysm, but a lower rate in ejection fraction value and admitting diastolic pressure than Cerebro-cardiac infarction group. In the two groups, those patients who were older than 65 years had a distinguishing hospitalization fatality rate (P<0.05). Conclusion Age (≥65 years) might be a common risk for the two groups. When myocardial infarction and cerebral infarction occurred, complicating disease should be actively prevented and treated to strive for the best result.