论文部分内容阅读
目的总结急性心肌梗死合并脑梗死的临床特点及治疗体会。方法回顾性分析分院及本部2014年1月~2016年12月收治的12例急性心肌梗死合并脑梗死患者的临床资料,观察患者的临床特点及治疗效果。结果12例患者均为中老年患者,患者并发脑梗死的发生时间均为心肌梗死发生后1周内,全部给予低分子肝素,氯吡格雷,阿司匹林联合抗栓治疗。在发生脑梗死后8 h内给予尿激酶20万~40万U治疗,均未出现出血等并发症。结论心肌梗死患者应加强对患者疼痛、紧张的处理,控制严重心律失常,减少血压波动,严密观察神经系统症状和体征,对及时防范和治疗脑梗死有重要意义。
Objective To summarize the clinical features and treatment of acute myocardial infarction complicated with cerebral infarction. Methods The clinical data of 12 patients with acute myocardial infarction complicated with cerebral infarction admitted from January 2014 to December 2016 in our department and department were retrospectively analyzed. The clinical features and therapeutic effects were observed. Results All 12 patients were middle-aged and elderly patients. All patients were complicated with low molecular weight heparin, clopidogrel and aspirin combined with antithrombotic therapy within 1 week after myocardial infarction. Urokinase 200 000 ~ 400 000 U within 8 h after the onset of cerebral infarction treatment, no complications such as bleeding. Conclusions Patients with myocardial infarction should strengthen the treatment of pain and tension, control serious arrhythmia, reduce the fluctuation of blood pressure and closely observe the symptoms and signs of nervous system. It is of great significance to prevent and treat cerebral infarction in time.