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目的探究心肌梗死患者1年内发生脑梗死的心源性病因和颈动脉粥样硬化的关系。方法利用超声对94例患者行颈部动脉超声检查。结果 91.8%的心肌梗死患者同时伴有颈动脉粥样硬化。伴有脑梗死患者15例,其中存在颈总动脉内膜粗糙10例;存在颈内动脉内膜粗糙5例;存在心腔内附壁血栓3例;两组间心功能指标无明显差异。结论为防止心梗后并发脑梗死,需同时充分了解心脏和颈部动脉病变相关情况。
Objective To investigate the relationship between cardiogenic etiology and carotid atherosclerosis in patients with myocardial infarction within 1 year. Methods Ultrasonography was performed on 94 patients with cervical artery under ultrasound. Results 91.8% of patients with myocardial infarction accompanied by carotid atherosclerosis. There were 15 patients with cerebral infarction, including 10 cases of common carotid intima; 5 cases of internal carotid artery intimal thickening; 3 cases of intracardiac wall thrombosis; there was no significant difference in cardiac function between the two groups. Conclusion In order to prevent cerebral infarction complicated by myocardial infarction, it is necessary to fully understand the correlation between heart and neck artery disease.