心绞痛并发脑梗死临床治疗与前瞻性研究.docVIP

心绞痛并发脑梗死临床治疗与前瞻性研究 　　【摘要】 目的：探讨心绞痛并发脑梗死的发病机制与临床特征。方法：根据首先诊断疾病将36例心绞痛并发脑梗死患者分为心绞痛组（A组）与脑梗死组（B组），A组行抗心绞痛药物治疗，B组行脑梗死治疗。结果：A、B两组患者的心绞痛，20例为自发性，10例为劳累性，6例为混合型。经CT检查均证实有脑梗死，其中大面积脑梗死14例，心电图检查均有不同程度的ST-T改变，其中26例为持续性，另10例仅在心绞痛时呈现，A组5 d痊愈率15%，B组5 d痊愈率75%。结论：A、B两组在治疗中应照顾到二者的不同点，同时给予治疗，在治疗心绞痛时，应对脑梗死给予积极治疗，往往也能使心绞痛较易控制，可使两种疾患都得以恢复。 　　【关键词】 心绞痛； 脑梗死 　　中图分类号 R743.33 文献标识码 B 文章编号 1674-6805（2014）3-0118-02 　　The Clinical Therapy and Prospective Study of Angina Pectoris Complicated with Cerebral Infarction/LIU Yang，WU Dan，RONG Gen-man.//Chinese and Foreign Medical Research，2014，12（3）：118-119 　　【Abstract】 Objective：To explore the pathogenesis of angina pectoris complicated with cerebral infarction and clinical features.Method：The 36 patients with angina pectoris complicated with cerebral infarction were divided into angina group（group A） and cerebral infarction group（group B） according to the first diagnosed，group A were treated angina drug and group B were treated cerebral infarction.Result：Patients of group A and B with angina pectoris，20 cases were idiopathic，10 cases were fatigue resistances，6 cases were mixed types.Cerebral infarction confirmed by CT examination，including 14 cases of large area cerebral infarction ecg examination all had different degrees of ST-T change，26 cases of sustainability，the other 10 cases present only in angina pectoris，the cure rate of A groups was 15%，the cure rate of B group was 75% in five days.Conclusion：The patients should be taken care of in treatment，at the same time in the treatment of angina pectoris，we should give a positive response to cerebral infarction treatment，which can also make the angina pectoris control more easily and the two diseases restored. 　　【Key words】 Angina； Cerebral infarction 　　First-author’s address：The Second People’s Hospital of Liaoyang City，Liaoyang 111000，China 　　心绞痛是冠心病患者的常见症候群，常由劳累、情绪激动等诱发。脑梗死是由于脑供血障碍使脑组织缺血、缺氧而引起的脑软化，最常见的病因为脑动脉粥样硬化，常伴有高血压，笔者发现某些患者心绞痛与脑梗死并发，且心绞痛也难以控制，若同时对脑梗死给予适当治疗，心绞痛可较快得到控制[1-2]。 　　1 资料与方