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目的探讨急性心肌梗死(AMI)并发脑梗死的诊断与治疗。方法于1996年6月至2006年6月,共收治 AMI 264例,其中14例并发脑梗死,分析 AMI 并发脑梗死的发生、诊治及预后。结果本组8例经 CT 确诊,6例经神经系统和脑积液检验确诊。9例治愈,死亡5例。体会到及早溶拴、有效抗凝是治疗的重要环节。结论改善冠脉血供,情绪、血压及内环境的稳定,早期快速有效溶拴是治疗关键。
Objective To investigate the diagnosis and treatment of acute myocardial infarction (AMI) complicated with cerebral infarction. Methods From June 1996 to June 2006, 264 cases of AMI were admitted, including 14 cases complicated by cerebral infarction. The incidence, diagnosis, treatment and prognosis of AMI complicated with cerebral infarction were analyzed. Results The group of 8 patients diagnosed by CT, 6 cases confirmed by the nervous system and hydrocephalus. 9 cases were cured, 5 died. Experience early dissolution of the tethering, effective anticoagulation is an important part of treatment. Conclusion The improvement of coronary blood supply, emotional, blood pressure and the stability of the internal environment, the early rapid and effective dissolution of the key is the key to treatment.