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目的研究急性脑血管意外与急性心肌梗死之间的关系。方法通过头颅CT扫描和动态观察心电图及血清酶学指标来分析两者间的发病顺序及相互关系。结果我院自1992年1月至1999年10月共收治了842例急性脑血管意外患者,其中合并急性心肌梗死患者11例,约占同期急性脑血管意外住院患者的1.3%。急性脑血管意外先于急性心肌梗死发病者9例,急性心肌梗死先于急性脑血管意外者2例,两者发生时间均在8小时～7天内。结论急性脑血管意外和急性心肌梗死可互为因果,这些患者常同时有脑动脉硬化与冠状动脉硬化,成为脑血管及冠状动脉同时发生病变的基础。
Objective To study the relationship between acute cerebrovascular accident and acute myocardial infarction. Methods The cranial CT scan and dynamic observation of electrocardiogram and serum enzymatic indexes were used to analyze the sequence and relationship between the two. Results From January 1992 to October 1999, 842 patients with acute cerebrovascular accident were treated in our hospital. Among them, 11 patients with acute myocardial infarction accounted for 1.3% of hospitalized patients with acute cerebrovascular accident in the same period. Acute cerebrovascular accident in 9 cases before onset of acute myocardial infarction, acute myocardial infarction in patients with acute cerebrovascular accident in 2 cases, the two occurred in 8 hours to 7 days. Conclusions Acute cerebrovascular accident and acute myocardial infarction may each cause and effect. These patients often have both cerebral arteriosclerosis and coronary atherosclerosis, and become the basis of the simultaneous pathological changes of cerebrovascular and coronary arteries.