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目的:探讨老年急性心肌梗死(AMI)合并急性脑卒中的机理。方法:回顾分析了324例老年急性心肌梗死的临床资料。结果:22例脑卒中患者发生于左室前壁的心肌梗死有19例。心律失常组156例患者,发生脑卒中17例。而对照组168例患者心律基本正常,发生脑卒中5例。结论:老年急性心肌梗死合并急性脑卒中的发生与心肌梗死部位、是否有严重心律失常、低血压、心脏附壁血栓等密切相关。
Objective: To investigate the mechanism of acute stroke in elderly patients with acute myocardial infarction (AMI). Methods: A retrospective analysis of 324 cases of elderly patients with acute myocardial infarction clinical data. RESULTS: Twenty-nine patients with stroke had myocardial infarction in the anterior wall of the left ventricle in 19 patients. 156 cases of arrhythmia group, stroke occurred in 17 cases. The control group 168 patients with normal heart rhythm, stroke occurred in 5 cases. Conclusion: The incidence of acute stroke complicated with acute stroke in senile patients is closely related to myocardial infarction, severe arrhythmia, hypotension and mural thrombus.