急性心肌梗死患者的脑功能障碍

N. A. Muradyan, I. Kuzmina, T. R. Gvindzhiliya, V. M. Balanyan, K. A. Popugaev
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引用次数: 0

摘要

背景。本文讨论了急性心肌梗死并发症之一--脑功能障碍的特点,脑功能障碍会对患者的生活质量产生负面影响,恶化疾病预后,增加住院时间和死亡风险。急性心肌梗死患者出现脑功能障碍会给治疗策略的选择带来困难,包括心肌血管重建的决定。确定急性心肌梗死患者脑功能缺失的预测因素,并为这类患者的治疗制定算法,是当今医学界的一项紧迫任务。根据当代俄罗斯和外国文献资料,研究心肌梗塞患者脑功能障碍的特征。建立急性心肌梗塞患者脑功能障碍的诊断和治疗算法。研究对象为急性心肌梗死患者,这些患者在疾病急性期出现脑功能障碍。心肌梗死急性期的及时诊断、抗血小板治疗、紧急再灌注治疗以及预防措施可减少脑并发症的发生,提高心肌梗死患者的治疗效果,减少住院治疗天数,并改善长期预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cerebral dysfunction in patients with acute myocardial infarction
Background. The article discusses the features of one of the complications of acute myocardial infarction – cerebral dysfunction, which negatively affects the quality of life of patients, worsens the disease prognosis, increases the hospital length of stay and the risk of death. The presence of cerebral disorders in patients with acute myocardial infarction causes difficulties in the choice of therapeutic tactics, including the decision on myocardial revascularization. The identification of predictive factors for cerebral deficiency in acute myocardial infarction and the development of an algorithm for the management of such patients is an urgent task of today medicine.Aim. To study the features of cerebral dysfunction in patients with myocardial infarction according to contemporary Russian and foreign literature sources. To create an algorithm for the diagnosis and treatment of cerebral dysfunction in patients with acute myocardial infarction.Material and methods. Patients with acute myocardial infarction who developed cerebral dysfunction in the acute period of the disease were examined.Conclusion. Timely diagnosis, antiplatelet therapy, emergency reperfusion therapy in the acute period of myocardial infarction, as well as preventive measures reduce the development of cerebral complications, improve the results of treatment of patients with myocardial infarction, reduce the number of inpatient treatment days, as well as improve the long term prognosis.
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