论文部分内容阅读
急性脑血管病常引起神经—体液调节功能的紊乱,导致内脏器官形态及功能的改变,尤以对心脏的影响最为明显,临床称之为脑—心综合征,而心肌梗塞时并发脑血循环与冠状循环之间有着密切联系。现将我院近几年收治的21例急性脑血管意外合并急性心肌梗死病例分析如下。 1 临床资料 21例患者中男性11例,女性10例,年龄45～75岁。全部经头颅CT扫描确诊。其中脑出血8例,平均出血量约5ml。13例为脑梗死,其中大面积脑梗死9例。21例均有神经系统功能障碍,如中枢性面瘫、偏瘫、失语、头痛及呕吐。意识障碍11例。心肌梗塞部位为下壁9例,前间壁5例,广泛前壁3例,高侧壁2例,心内膜下2例,动态观察心电图有急性心肌梗死衍变过程及血清酶增高。心肌梗死发生于急性脑血管病后4小时内的5例,18小时的9
Acute cerebrovascular diseases often cause neurological - humoral regulatory disorders, leading to changes in the shape and function of internal organs, especially the most obvious impact on the heart, the clinical call brain - heart syndrome, and cerebral infarction complicated by cerebral blood circulation and Coronary circulation is closely linked. Now in our hospital admitted in recent years, 21 cases of acute cerebrovascular accident combined with acute myocardial infarction cases are as follows. 1 Clinical data 21 patients, 11 males and 10 females, aged 45 to 75 years. All confirmed by skull CT scan. Including cerebral hemorrhage in 8 cases, the average amount of bleeding about 5ml. 13 cases of cerebral infarction, including 9 cases of large area cerebral infarction. Twenty-one patients had neurological dysfunctions such as central facial paralysis, hemiplegia, aphasia, headache and vomiting. 11 cases of disturbance of consciousness. Myocardial infarction sites were 9 cases of inferior wall, 5 cases of anteroseptal wall, 3 cases of extensive anterior wall, 2 cases of high lateral wall and 2 cases of endocardium. Dynamic changes of electrocardiogram in acute myocardial infarction and increase of serum enzyme were observed. Myocardial infarction occurs in 5 patients within 4 hours after acute cerebrovascular disease and in 18 hours