急性心肌梗死并发脑梗死的临床特点

Clinical features of acute myocardial infarction complicated by cerebral infarction

目的探讨急性心肌梗死并发脑梗死的临床特点。方法急性心肌梗死住院 85 7例分成并发脑梗死组和无脑梗死组 ,对其资料进行回顾性分析比较。结果并发脑梗死组平均肌酸激酶峰值、心尖部梗死、心源性休克、心律失常 ,均高于无脑梗死组 ( P<0 .0 5 ) ,并发脑梗死组病死率高于无脑梗死组 ( P<0 .0 1)。结论急性心肌梗死后并发脑梗死与上述因素有关 ,溶栓及综合防治可减少脑梗死发生率 ,从而降低急性心肌梗死后病死率。

Objective To explore the clinical features of acute myocardial infarction (AMI) complicated by cerebral infarction.Methods 857 AMI cases were divided into the groups with cerebral infarction and without cerebral infarction.The data were analyzed.Results The mean creatine kinase (CK) peak value,heart tip infarction,cardiogenic shock and arrhythmia were higher in the group with cerebral infarction than that in group without cerebral infarction (P<0.05).The mortality rate in cerebral infarction group was higher in non cerebral infarction group (P<0.01).Conclusion The complication of cerebral infarction in AMI patients is related to above mentioned factors.Thrombolysis and comprehensive treatment can decrease the incidence rate of cerebral infarction so as to decrease the mortality of AMI.