摘要
目的 探讨心肌梗死和脑梗死并存的临床特点。方法 回顾分析80例心、脑梗死并存患者的临床资料。结果两组有某些共同的危险因素。统计脑梗死和急性心肌梗死发病的时间间隔,在2月以内的比例均较高,心、脑梗死组为83.3％,脑、心梗死组为55.3％,尤其以2周之内突出,心、脑梗死组为45.2％,脑、心梗死组为34.2％。心、脑梗死组右室心肌梗死伴发率及左室肥大、室壁瘤的比例均高于脑、心梗死组,而EF值、入院时的舒张压均明显低于脑、心梗死组。两组年龄≥65岁患者住院病死率均明显增高(P<0.05)。结论 老年(≥65岁)可能是心、脑梗死和脑、心梗死预后危险因素,心肌梗死和脑梗死时应积极防治并发症,争取获得最好的转归。
Objective To investigate the clinical characteristics of acute myocardial infarction(AMI) and cerebral infarction(CI).Methods Clinical data of eighty patients with AMI and CI were analyzed retrospectively. Results The two groups shared some common riskfactors. There was a higher proportion in onset time interval between the two diseases in the first two month, especially the first two weeks. Car-dio-cerebral infartion group had a higher rate in concomitant right ventricular myocardial infarction, left ventricular hypertrophy and ventricularaneruysm, but a lower rate in ejection forction value and admitting diastolic pressure than cerebro-cardiac infarction group. In the two groups,those patients who were older than 65 years had a distinguishing hospitalization fatality rate (P< 0. 05). Conclusions Age(≥65 years)might be a common prognostic risk factor for the two groups. When myocardial infarction and cerebral infarction occurred, Syndrome should beactively prevented and cured to strive the best result.
出处
《解放军保健医学杂志》
2003年第3期163-165,共3页
Journal Of Health Care And Medicine in Chinese Pla
关键词
心肌梗死
脑梗死
合并症
临床特点
危险因素
myocardial infarction
cerebral infarction
cardio-cerebral apoplexy
