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目的:探讨脑梗死急性期合并心衰血压控制对左室内径和脑血流动力学变化的影响。方法:将发病24 h内的100例患者分为治疗组和对照组。治疗组予以血压调控,对照组不控。结果:左室舒张末径≤55 mm者血压控制对心衰有益,却影响脑灌注。≥55 mm者经合理的血压调控后心功能及脑灌注改善。结论:脑梗死急性期合并心衰经合理地血压调控后对心脑功能的改善都有益。
Objective: To investigate the effect of acute cerebral infarction with heart rate control on left ventricular internal diameter and hemodynamic changes. Methods: 100 patients within 24 hours of onset were divided into treatment group and control group. The treatment group was blood pressure control, the control group is not controlled. Results: Left ventricular diastolic diameter ≤ 55 mm blood pressure control of heart failure beneficial, but affect cerebral perfusion. ≥55 mm after a reasonable blood pressure control of heart function and cerebral perfusion improved. Conclusion: Acute cerebral infarction complicated with heart failure is beneficial to the improvement of cardiocerebral function after being properly controlled by blood pressure.