脑梗死后心肌梗死40例临床分析

Clinical Analysis of 40 Cases of Myocardial Infarction after Cerebral Infarction

目的 :分析脑梗死后再发心肌梗死 (MI)的病因及死因。方法 :对脑梗死后遗症病人发生MI前状态、发生MI时临床特征以及预后进行系统分析。结果 :所选病例MI前存在多重心血管病变高危因素及严重感染 ;MI时临床特征不典型 ,病死率高。结论 :对高危因素缺乏控制是发生MI的基础 ,感染是引发MI的主要诱因。MI特征不典型延误确诊 ,并发症、合并症及治疗禁忌证多 ,病人体质差是导致死亡率高的原因。

Objective: To analyze the pathogenesis of myocardial infarction (MI) after cerebral infarction. Methods: Patients of MI after cerebral infarction were systematical retrospectively investigated about information before MI, clinical features and prognosis. Results:The patients who were chosen owned a lot of dangerous factors about cardiovascular diseases and severe inflammation infections before MI. The symptoms about MI was short of classical characteristic while MI was occurring, and mortality was very high. Conclusion: The lacking of the secondary prevention after cerebral infarction is essential cause to MI. MI is related significantly to infection. High mortality is directly bearing on delay diagnosis, lots of complications, sick body, and etc.