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为探讨心血管病变与急性脑血管病的关系,以我院神经内科住院的65例急性脑血管病死亡病历和尸检资料为基础,分析脑梗塞、脑出血和蛛网膜下腔出血3组病人心电图和心脏、冠状动脉及主动脉的病理改变。结果表明,65例中,因心衰死亡4例,心源性猝死3例,占死亡病人10.8%。心电图异常率88.0%。53例冠脉尸检,46例冠状动脉粥样硬化,22例冠状动脉狭窄。在心脏发现血栓性赘生物的10例,均发生动脉栓塞,包括脑、肾、肺、肢体和肠系膜。结论:心源性死因是急性脑血管病的死因之一。心房纤颤和心脏内有血栓性赘生物的病人,动脉栓塞的发生率极高。临床上要加强心脏超声检查和心电、心功能监测,积极防治心血管并发症。
To explore the relationship between cardiovascular disease and acute cerebrovascular disease, hospital neurology hospital in our hospital of 65 cases of acute cerebrovascular disease death and autopsy data as the basis, analysis of cerebral infarction, cerebral hemorrhage and subarachnoid hemorrhage three groups of patients ECG And pathological changes of heart, coronary artery and aorta. The results showed that in 65 cases, 4 died of heart failure, 3 cases of sudden cardiac death, accounting for 10.8% of the deaths. The abnormal rate of ECG 88.0%. 53 cases of coronary autopsy, 46 cases of coronary atherosclerosis, 22 cases of coronary artery stenosis. Arterial embolism occurred in all 10 cases of thrombotic neoplasms found in the heart, including brain, kidney, lung, limb, and mesentery. Conclusion: Cardiogenic death is one of the causes of death in acute cerebrovascular disease. Atrial fibrillation and cardiac thrombosis in patients with neoplasm, the incidence of arterial embolism is extremely high. Clinically, we must strengthen the cardiac ultrasound and ECG, cardiac function monitoring, prevention and treatment of cardiovascular complications.