心绞痛并发脑梗死临床治疗和前瞻性探究.docxVIP

心绞痛并发脑梗死临床治疗和前瞻性探究 【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%, E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： Pa/tients 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