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本文阐明急性心肌梗塞(MI)后有左室血栓(LVT)和栓塞性脑血管意外(CV A)危险因素的患者,应给予抗凝疗法,此类患者可经二维超声心动图确定,抗凝治疗可予防LVT和CVA,减少MI的死亡率。急性心肌梗塞后栓塞性脑血管意外的发病情况 MI患者在出院以前,临床诊断CVA的占1.5-3%,尸检发现还要高一些,60-80%的CVA发生在MI后的第一周内,其余的发生在第2和第4周之间。合并CVA患者的死亡率为50-60%。予防LVT和CVA的抗凝疗法 MI后栓塞性CVA的发生是由于室壁血栓脱落,此血栓是在心肌损伤和室壁运动异
This article clarifies that patients with risk factors for left ventricular thrombus (LVT) and embolic cerebrovascular accident (CVA) following acute myocardial infarction (MI) should be given anticoagulant therapy. Such patients may be confirmed by two-dimensional echocardiography Condensation therapy can prevent LVT and CVA, reduce the mortality rate of MI. The incidence of embolic cerebrovascular accidents after acute myocardial infarction Prior to discharge, MI patients had clinically diagnosed 1.5-3% of CVA and had been found to have had a higher autopsy and 60-80% of CVA occurred within the first week after MI , The rest occurred between the 2nd and 4th weeks. Mortality in patients with CVA is 50-60%. To prevent LVT and CVA after anticoagulation therapy MI embolism CVA occurs due to ventricular wall thrombosis, the thrombus in the myocardial injury and wall motion differences