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目的探讨急性脑梗死合并急性心肌梗死与生化指标的相关性及临床意义。方法对1 189例急性脑梗死患者发病24h内行颅脑CT、标准导联心电图及心肌酶学、血糖,白细胞,以及血小板。结果 1 189例急性脑梗塞患者中822例ECG呈AMI改变,且822例患者中,血糖,白细胞,血小板,三者同时高于正常值占78%。而367例单纯急性脑梗死患者中三种指标同时高于正常值的仅为6%。结论当急性脑梗死患者同时合并血糖、白细胞及血小板高于正常值时,要高度怀疑患者同时合并急性心肌梗死。
Objective To investigate the correlation and clinical significance of acute cerebral infarction with acute myocardial infarction and its biochemical parameters. Methods Totally 1 189 patients with acute cerebral infarction underwent craniocerebral CT, standard lead electrocardiogram and myocardial enzymology, blood glucose, white blood cells and platelets within 24 hours. Results 822 ECGs of 1 189 patients with acute cerebral infarction showed AMI changes. Among 822 patients, blood glucose, white blood cells and platelets all accounted for 78% higher than normal at the same time. The 367 patients with acute cerebral infarction in the three indicators at the same time higher than the normal value of only 6%. Conclusion When patients with acute cerebral infarction combined with blood glucose, white blood cells and platelets higher than normal, it is highly suspected that patients with acute myocardial infarction.