重症脑血管意外致ECG和心肌酶谱异常的分析

To analyse 52 serious case of cerebrovascular accidents causing abnormal ECG and myocardial enzymes

目的 探讨脑血管意外对心脏的影响,并讨论其发病机理.方法 对于52例急性期脑血管意外的昏迷病人进行心电图(ECG)及心肌酶谱监测和分析.结果 大多数患者有不同程度的ECG改变和心肌酶谱异常,其中9例发生类似心肌梗塞的表现.结论 脑血管意外昏迷患者在急性期大多存在对心脏的影响,导致ECG和心肌酶谱异常,目前发病机理为综合因素所致,同时应与急性心肌梗塞相鉴别,并积极防治.

Objective To inquire into the influence of the cerebrovascular accident(CVA) on the heart, and study their mechanism. Methods To analyse 52 ECG and serum cardiac enzymes of CVA of acute coma patients. Results Most of patients had the change of ECG and myocardial enzymes,9 patients was similar to acute myocardial infarction. Conclusion Acute CVA patients have influence on the heart. The mechanism has been thought that is comprehensive reasons, and it should be different from the acute myocardial infarction, and it must be treated in time.