彩超对心肌梗死后期患者发生脑梗死原因探讨

Carotid atherosc1erosis and cerebral infarction in myocardial infarction patients by ultrasonography

目的探究心肌梗死患者1年内发生脑梗死的心源性病因和颈动脉粥样硬化的关系。方法利用超声对94例患者行颈部动脉超声检查。结果 91.8%的心肌梗死患者同时伴有颈动脉粥样硬化。伴有脑梗死患者15例,其中存在颈总动脉内膜粗糙10例;存在颈内动脉内膜粗糙5例;存在心腔内附壁血栓3例;两组间心功能指标无明显差异。结论为防止心梗后并发脑梗死,需同时充分了解心脏和颈部动脉病变相关情况。

Objective To investigate the occurrence reationship of cerebral infarction in 94 patients with old cardiac infarction in the present year, also suffered from atherosclerosis of the carotid artery. Methods GEvivid-7 was used. Myocardial infarction had carotid atheroscl,infarction patients had rough tunicaintima of carotid artery. One case had mural thrombus. Conclusion In order to prevent occur after cardiac infarction, both of the heart and the carotid artery shoul d be closely surveyed.