急性脑血管意外与心肌梗塞

Acute cerebrovascular disease and myocardial infarctian

摘要: 本文报告急性脑血管意外1314例,脑出血489例,蛛网膜下腔出血71例,脑血栓形成686例,脑栓塞68例。在卒中急性期合并急性心肌梗塞21例,其中脑出血2例(0.4%),蛛网膜下腔出血4例(5%),脑血栓13例(1.9%),脑栓塞2例(2.9%)。经心电图检出心内膜下心肌梗塞、前壁和下壁心肌梗塞各4例,前间壁梗塞3例,前壁+下壁梗塞2例,前侧壁、高侧壁、前间壁+下壁、前间壁+前壁梗塞各1例。并结合典型病例对急性脑血管意外并发心肌梗塞的患病率、病死率、诊断及其发生的可能机制进行了讨论。

Abstract: A retrodspective studg in 1314 cases of acute cerebrovascular disease was conducted.The clinical diagnosis included cerebral hemorrhage（CH,489 cases）,cerebral thrombosis（CT,686 cases）,cerebral embolism（CE,68 cases）,and subarachnoid hemorrhage（SAH,71 cases）.Of the 1314 cases,there were 21 patients（1.6%）complicated by acuts nyocardial infarction during the stage of stroke,which consisted of 2 cases of CH（0.4%）,13 cases of CT（1.9%）,2 cases of CE （2.9%）,and 4 cases SAH（5%）.In the paper,a derail description was given and the death rate,diagnosis,and pathogenesis of ofeach condithor were discussed.