| 老年急性心肌梗死并发急性脑卒中22例临床分析 |
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| 引用本文： | 刘莹,唐鸿漪. 老年急性心肌梗死并发急性脑卒中22例临床分析[J]. 中国综合临床, 2002, 18(6): 503-504 |
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| 作者姓名： | 刘莹 唐鸿漪 |
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| 作者单位： | 天津市第二中心医院,300120 |
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| 摘 要： | 目的：探讨老年急性心肌梗死（AMI）并发急性脑卒中的机理，方法：回顾性分析324例老年AMI患者的临床资料。结果：22例脑卒中患者发生于左室前壁的心肌梗死19例，心律失常组156例中，发生脑卒中17例，而对照组168例心律基本正常者，发生脑卒中5例，18例患者收缩压持续低于90mmHg(12kPa)超过24小时，其中4例发生了脑血栓形成，经超声心动图检查的268例患者中发现有附壁血栓48例，其中8例发生了脑栓塞，结论：老年AMI并发急性脑卒中与心肌梗死部位，是否有严重心律失常，低血压，心脏附壁血栓等密切相关。
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| 关 键 词： | 老年 急性心肌梗死 急性脑卒中 临床分析 并发症 |
| 文章编号： | 1008-6315(2002)06-0503-02 |
| 修稿时间： | 2001-12-10 |
Senile acute myocardial infarction complicated by acute stroke:a report of 22 cases |
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| Liu Ying Tang Hongyi. Senile acute myocardial infarction complicated by acute stroke:a report of 22 cases[J]. Clinical Medicine of China, 2002, 18(6): 503-504 |
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| Authors: | Liu Ying Tang Hongyi |
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| Affiliation: | 300120 Tianjin |
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| Abstract: | Objective To study the mechanism of senile acute myocardial infarction (AMI) complicated by acute stroke.Methods Clinical data of 324 senile cases with acute myocardial infarction were analyzed retrospectively.Results Of 22 cases with stroke,there were 19 cases who had myocardial infarction of left ventricular anterior wall.Stoke occurred in 17 of 156 cases in arrhythmia group.In contrast,heart rhythm was generally normal in 168 cases of control group,5 of whom had stroke.Systolic blood pressure (SBP) in 18 cases was consistently below 12 kPa for more than 24 hours and 4 of them suffered from cerebral thrombosis afterwards.In 268 cases receiving UCG examination,48 cases were found to be with mural thrombus,8 of who suffered from stroke afterwards.Conclusion Senile AMI complicated by acute stroke is closely related with the site of myocardial infarct,severe arrhythmia,hypotension and cordis mural thrombus. |
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| Keywords: | Acute myocardial infarction Stroke Severe arrhythmia Cordis mural thrombus |
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