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脑梗塞是急性心肌梗塞(简称AMI)的常见并发症,多发生于老年病人,并使AMI的死亡率增加。我院1974年5月至1991年12月收治AMI365例,其中并发脑梗塞23例。现将脑梗塞与心梗部位的关系探讨如下。临床资料 365例AMI均根据临床表现,心电图及血清酶学明确诊断。其中并发脑梗塞23例,男15例,女8例;年龄55～82岁,平均年龄66岁。诊断标准(1)明确诊断为AMI;(2)出现脑梗塞的病状和体征;(3)除外其他心脏疾病;(4)脑脊液或颅脑CT检查。于AMI后7天内发病16例(69%),8～29天内发病7例(31%)。脑梗塞与心梗部位的关系:
Cerebral infarction is a common complication of acute myocardial infarction (AMI), occurs in elderly patients and increases the mortality rate of AMI. Our hospital from May 1974 to December 1991 were treated with AMI365 cases, of which 23 cases complicated by cerebral infarction. Now the relationship between cerebral infarction and myocardial infarction as follows. Clinical data 365 cases of AMI are based on clinical manifestations, ECG and serum enzymes clear diagnosis. Including 23 cases of cerebral infarction, 15 males and 8 females; aged 55 to 82 years, mean age 66 years. Diagnostic criteria (1) a clear diagnosis of AMI; (2) the emergence of signs and symptoms of cerebral infarction; (3) except for other heart disease; (4) cerebrospinal fluid or brain CT examination. Sixteen patients (69%) developed disease within 7 days after AMI and 7 patients (31%) developed disease within 8 to 29 days. The relationship between cerebral infarction and myocardial infarction: