摘要
报告经尸检证实的急性心肌梗塞(AMI)继发脑梗塞(CI)5例。CI灶位于大脑中动脉区4例(左3、右1),前动脉区1例;新鲜与陈旧心梗并存4例,心脏动脉瘤、左室内附壁血栓(MT)、二尖辨狭窄各2例;心主动脉、脑基底动脉及大脑中动脉粥样硬化Ⅲ～Ⅳ度5例。与同期AMI尸检无CI13例心脑病理临床资料作比较,认为CI发生除心源性脑栓塞外,低血压、脑动脉粥样硬化也是重要因素,提出AMI早期应用抗凝治疗、及时纠正心衰和低血压,避免MT的形成与脱落是防治CI发生的重要措施。
The analysis has been performed on 5 cases of acute myocardial infarction (AMI) with concomitant cerebral infarction (CI) which were identified by autopsy versus 13 cases of acute myocardial infarction alone.It was revealed that CI foci of 4 cases were located in areas of cerebral middle artery (3 cases on left,1 case on right) ,and 1 case in an-terior artery area; new and remote myocardial in-farcts coexisted in 4 cases.Two AMI patients with CI had cardiac aneurysm,two patients mural thrombosis (MT) and two patients mitral stenosis.All the AMI patients with CI had atherosclesis (Ⅲ-Ⅳ degree) in aorta,brain basilar artery and cerebral middle artery.Compared with the clinical data and pathological changes in heart and brain in 13 cases of AMI without IC,it was shown that hypo-tention and brain atherosclesis were the important factors of etiology of CI besides cardiogenic cerebral embolism,indicating that in order to aviod the formation and exfoliation of MT,applying anticoagulant therapy at early stage and preventing and treating cardiac failure as well as hypotention are the important measures to prevent CI.
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
1993年第5期285-288,共4页
Chinese Journal of Nervous and Mental Diseases
关键词
心肌梗塞
脑栓塞
并发症
Acute myocardial infarction Cerebral infarction Cardiogenic cerebral embolism Cardiac mural thrombosis Atrial fibrillation
