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老年急性心肌梗塞(简称AMI),合并脑梗塞后病死率之高,早期诊断及时治疗AMI合并脑梗塞对于降低病死率,提高恢复期生活质量有重要临床意义。 1 临床资料 1.1 一般资料 我们从1984～1996年收治老年急性心肌梗塞156例,其中合并脑梗塞32例,男19例,女13例,年龄55～73岁,平均60±2.3岁。 1.2 AMI的特点 32例患者通过临床表现、心电图、心肌酶等而确诊为AMI其中梗塞部位如下:下壁11例次,前壁8例次,前间壁6例次,正后壁3例次,侧壁4例次,其中2个以上部位6例,再梗3例。
Elderly acute myocardial infarction (referred to as AMI), combined with high mortality after cerebral infarction, early diagnosis and timely treatment of AMI with cerebral infarction for reducing mortality and improve the quality of life of convalescence has important clinical significance. 1 Clinical data 1.1 General information We from 1984 to 1996 admitted to 156 cases of elderly patients with acute myocardial infarction, including cerebral infarction in 32 cases, 19 males and 13 females, aged 55 to 73 years, mean 60 ± 2.3 years. 1.2 The characteristics of AMI 32 patients were diagnosed as AMI by clinical manifestations, ECG, myocardial enzymes, etc. Among them, infarction sites were as follows: 11 cases of inferior wall, 8 cases of anterior wall, 6 anterior wall and 3 posterior wall, Side of the wall in 4 cases, of which more than 2 sites in 6 cases, 3 cases of another infarction.