我们对1994年元月～1998年12月间收治的急性脑梗塞1460例,其中合并急性心肌梗塞(AMI)22例,约占全部病例的1.5％,结合文献,就其特点分析讨论如下。 1 临床资料 1.1 一般资料:男13例,女9例,年龄51～72岁,其中14例合并高血压,5例合并糖尿病。全部病例经头颅CT扫描确诊脑梗塞。梗塞部位:14例表现为基底节区,8例为脑叶(颞顶叶),其中16例为多发性梗塞灶,6例为单发病灶。动态观察心电图及血清 We have 1460 cases of acute cerebral infarction admitted from January 1994 to December 1998, of which 22 cases are complicated with acute myocardial infarction (AMI), accounting for about 1.5% of all cases. According to the literature, their characteristics are discussed as follows. 1 Clinical data 1.1 General information: 13 males and 9 females, aged 51 to 72 years, of which 14 cases of hypertension, 5 cases of diabetes mellitus. All cases were confirmed by cerebral CT scan cerebral infarction. Infarction site: 14 cases showed basal ganglia, 8 cases of brain lobes (temporoparietal), of which 16 cases of multiple infarction, 6 cases of single lesions. Dynamic observation of ECG and serum