老年急性心肌梗死合并脑梗死患者临床特点分析

目的：探讨老年急性心肌梗死合并脑梗死患者的临床特点。方法选取该院2008年6月至2013年6月收治的79例老年急性心肌梗死合并脑梗死患者，按预后分为死亡组和存活组，对两组患者的患病危险因素、临床表现、心肌梗死部位、脑梗死部位及确诊脑梗死时间进行临床观察。结果两组患者患病危险因素比较，差异无统计学意义（P〉0.05），死亡组患者意识障碍、低血压、脑梗死确诊时间与存活组比较，差异均有统计学意义（P＜0.05）。死亡组患者心前壁和脑干梗死比例高于存活组，差异有统计学意义（P＜0.05）。结论老年急性心肌梗死合并脑梗死临床表现复杂，急性前壁心肌梗死患者应及早预防脑梗死的发生，早期确诊能明显改善患者预后。

Clinical analysis of elderly patients with acute myocardial infarction complicated with cerebral infarction

Objective To investigate the clinical characteristics of elderly patients with acute myocardial infarction （A-MI） complicated with cerebral infarction. Methods A total of 79 elderly patients with AMI complicated with cerebral infarction , who were received in the hospital from June 2008 to June 2013,were divided into the death group（n=49） and survival group（n=30） according to prognosis. The risk factors,clinical manifestations,the site of myocardial infarction,the site of cerebral infarction site and confirmed infarction time of the two groups were observed clinically. Results There was no statistically significant dif-ference on risk factors between the two groups ,but the difference on disturbance of consciousness ,hypotension and confirmed in-farction time had statistical significance（P〈0.05）. The portion of anterior wall of heart and brainstem infarction in the death group was higher than that in the survival group（P〈0.05）. Conclusion The clinical manifestations of elderly patients with AMI compli-cated with cerebral infarction are complex ,it is necessary for the patients with acute anterior myocardial infarction to prevent the occurrence of cerebral infarction as soon as possible ,and the early diagnosis can significantly improve the prognosis.