超声对心肌梗死患者颈动脉粥样硬化与脑梗死关系的研究

目的观察心肌梗死后患者1年内发生脑梗死的心源性病因与颈动脉粥样硬化的关系。方法利用超声对74例患者进行颈动脉超声检查。结果91．8％的心肌梗死患者合并颈动脉粥样硬化。7例合并脑梗死患者中4例（57％）存在颈总动脉内膜粗糙；2例存在颈内动脉内膜粗糙（29％）；1例有心腔内附壁血栓；心功能指标两组间无差异。结论为防止心肌梗死后并发脑梗塞，心脏和颈动脉病变的情况同样需要充分了解。

Carotid atherosclerosis and cerebral infarction in myocardial infarction patients by ultrasonography

Objective To study the occurrence reationship of cerebral infarction in 74patients with old cardiac infarction in the present year and also suffered from atherosclerosis of the carotid artery. Method SSA-350A was used. Results 91.8% myocardial infarction had carotid atherosclerosis,57 % cerebral infarction patients had rough tunicaintima of carotid artery. One ease had mural thrombus. Conclusion In order to prevent occor after cardiac infarction , the current situation of both the heart and the carotid artery should be closely surveyed.