心脑梗死诊疗及研究进展  

Research Progress on the Diagnosis and Treatment of Cardio-cerebral Infarction

作　　者：李雪 薛素芳[2] 尹春琳[1] LI Xue;XUE Sufang;YIN Chunlin(Department of Cardiology,Xuanwu Hospital,Capital Medical University,National Clinical Research Center for Geriatric Diseases,Beijing 100053,China;Department of Neurology,Xuanwu Hospital,Capital Medical University,National Center for Neurological Medicine,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院心脏内科、国家老年疾病临床医学研究中心,北京100053 [2]首都医科大学宣武医院神经内科、国家神经疾病医学中心,北京100053

出　　处：《中国循环杂志》2023年第10期1098-1102,共5页Chinese Circulation Journal

摘　　要：心脑梗死(cardio-cerebral infarction,CCI)是同时或短时间内相继发生的急性心肌梗死和急性缺血性脑卒中临床综合征,严重影响患者生存和预后。目前对于CCI的病因及病理生理学认识不足,临床治疗管理策略缺乏证据和权威指南指导,疾病的诊疗空白和争议颇多,亟待更全面的研究和探讨。本文综述国内外相关研究,探讨关于CCI概念、流行病学、发病原因及机制、急性期和长期治疗策略、预后转归等方面的最新研究进展。Cardio-cerebral infarction(CCI)is a clinical syndrome of concurrent acute myocardial infarction and acute ischemic stroke that occurs simultaneously or successively in a short time,CCI is related to poor survival and adverse prognosis of patients.At present,further research on CCI is urgently needed,because there are insufficient understanding of the etiology and pathophysiology,few authoritative evidence and guidelines for clinical management strategies,and many gaps and disputes in the diagnosis and treatment.This article reviews the relevant research progresses at home and abroad,to present the updated knowledge on the concept,epidemiology,pathogenesis,acute and long-term treatment strategies,and prognosis of CCI.

关 键 词：心脑梗死 急性心肌梗死 急性缺血性脑卒中 血运重建 发病机制 

分 类 号：R54[医药卫生—心血管疾病]