摘要
目的：探讨心肌梗死（心梗）患者梗死１年内发生脑梗死的心源性病因，并观察颈动脉粥样硬化情况。方法：应用超声心动图和颈动脉超声检测心梗并发脑梗死患者的心功能及颈动脉血流的相应指标。结果：９２．９％的心梗患者合并有颈动脉粥样硬化。脑梗死组（５例）患者中３例存在颈总动脉内膜粗糙，１例存在颈内动脉内膜粗糙；１例有心腔内附壁血栓；无脑梗死组无此现象。心功能指标２组间无显著性差异。结论：对心梗患者应充分了解心功能和颈动脉病变情况，以防止心梗后序发脑梗死。
Objective:To investigate the cause of cerebral infarction associated with cardiogenic factor,and the carotid atherosclerotic lesions in patients,having suffer from myocardial infarction within 1 year.Methods:Using echocardiogram and carotid ultrasound,cardiac function and carotid blood flow were determined in patients.Results:929% myocardial infarction patients had carotid atherosclerosis.In cerebral infarction group (5 cases),the uneven common carotid artery and internal carotid artery intimal linings were found in 3 cases and 1 case respectively,1 cases had endocardial thrombi,and they were not found in noncerebral infarction group.There were no differences between 2 groups in cardiac function indexes.Conclusions:In order to prevent cerebral infarction secondary to acute myocardial infarction,it is advisable that the condition of heart and carotid artery should be clarified.
出处
《中国危重病急救医学》
CAS
CSCD
1998年第7期426-427,共2页
Chinese Critical Care Medicine
基金
军队九五攻关课题
关键词
颈动脉超声
颈动脉粥样硬化
心肌梗塞
脑梗塞
myocardial infarction\ \ cerebral infarction\ \ carotid ultrasound\ \ carotid atherosclersis
