脑梗塞是发病率很高的疾病之一。我院1989年至1994年收治急性脑梗塞123例,其中3例并发急性心肌梗塞,占2.43%。心肌梗塞均发生在脑梗塞急性期,有典型心电图特点和演变过程,血清酶学增高亦支持心梗存在。例1男,68岁,突然晕倒10分钟入院。查体:嗜睡,左侧鼻唇沟变浅,伸舌偏左。肢体肌力左侧1级,右侧V级,左侧巴彬氏征阳性。头颅 CT 示急性右额颞叶区脑梗塞。心电图示急性广泛前壁心梗。实验室检查:血清 AST 48U,LDH 82U,CK 235U;48小时后血 AST Cerebral infarction is one of the most common diseases. Our hospital from 1989 to 1994, 123 cases of acute cerebral infarction, of which 3 cases complicated by acute myocardial infarction, accounting for 2.43%. Myocardial infarction occurred in the acute stage of cerebral infarction, ECG characteristics and evolution of a typical process, increased serum enzyme also supports the existence of myocardial infarction. Example 1 male, 68 years old, suddenly fainted 10 minutes admitted. Physical examination: lethargy, left nasolabial fissure shallow, tongue left. Limb muscle left 1, right V-class, left Papin’s positive sign. Head CT showed acute right frontotemporal cerebral infarction. ECG shows acute extensive anterior myocardial infarction. Laboratory tests: serum AST 48U, LDH 82U, CK 235U; blood AST after 48 hours