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近年来急性脑血管病并发急性心肌梗塞(AMI),是急性脑血管病各种并发症中最严重的一种,其发生率和病死率均较高。目前认为急性脑血管病引起的心肌梗塞为脑心卒中,本文对我院8年来收治的24例报道如下:1 临床资料1.1 一般资料:24例中计男16例,女8例;年龄54岁～76岁(平均年龄64.4岁)。基础疾病中高血压14例,其中合并糖尿病6例,冠心病8例,均合并高血脂症,及肺心病2例。1.2 诊断标准:急性脑血管病按1986年中华医学会第二次全国脑血管病学术会议制定的标准,根据症状、体征及CT或MRI所见。AMI诊断根据(1)连续心电图观测有AMI的典型改变及演变过程;(2)心肌酶谱测定LDH、CPK、CPK-MB及GOT异常升高,而无其他原因可解释者。
In recent years, acute cerebrovascular disease complicated with acute myocardial infarction (AMI) is one of the most serious complications of acute cerebrovascular disease, its incidence and mortality are higher. Currently considered acute cerebrovascular disease caused by myocardial infarction in stroke, the paper admitted to our hospital for 8 years, 24 cases reported as follows: 1 Clinical data 1.1 General Information: 24 cases, including 16 males and 8 females; aged 54 years ~ 76 years old (average age 64.4 years old). Hypertension in 14 cases of underlying diseases, including diabetes in 6 cases, 8 cases of coronary heart disease, were associated with hyperlipidemia, and pulmonary heart disease in 2 cases. 1.2 diagnostic criteria: acute cerebrovascular disease in 1986 by the Chinese Medical Association Second National Conference on cerebrovascular disease standards developed by the symptoms, signs and CT or MRI seen. AMI diagnosis based on (1) ECG continuous observation of typical changes and evolution of AMI; (2) myocardial enzymes measured LDH, CPK, CPK-MB and GOT abnormal increase, and no other reason to explain.