脑卒中部位对心电图、心肌酶谱的影响

THE EFFECTS OF CEREBRAL APOP LECTIC POSITION ON ECG AND MYOCARDIAL ZYMOGRAM

本文对1990～1996年5月经颅脑CT扫描,心电图(ECG)、心肌酶谱检查的586例脑卒中病人,经X^2检验脑出血(CH)与脑梗塞(CI)对ECG的影响,基底节-丘脑左侧缓慢心律失常多见,右侧快速心律失常多见,两侧差异显著,P<0.05。左右侧大脑皮质对其差异无显著性,P>0.05。心肌酶谱升高以CPK及CPK-MB升高明显。病变性质对其影响差异无显著性。病变部位呈“同心圆性改变”。发病原理主要是与脑卒中导致脑水肿,儿茶酚胺分泌增加造成心肌损害、自主神经活性降低等有关。

In this passage, 586 patients with cerebral apolexy from 1990 to May 1995 were examined by CT, EGG and detection of myocardiac zymOgram and these cases were analysed through the method of x2 test. The results showed the effects on ECG of cerebral hemorrage ( CH ) and cerebral infarction ( CI ) were the following. Lesions of the left basal nuclei-thalamus often caused bra-dythmias, while lesions of the right side often caused bradyrhythmias and there were significant diffrences between them ( P<0.05 ) . But arrhythmias caused by changes of left cerebral cortex was not different from, those caused by the right side ( P>0.05 ) . The result also showed that CH and CI both can cause an increase of myocardiac zymogram, especially CPK and CPK-MB. The relationship between position of lesions and the increase of enzymes was a kind of ''concentric circles pattern'. There were no obvious differences among various lesions qualities. The pathogenesis may be thatcerebral edema and increased catecholamine secretion caused by cerebral apop-texy induced myocardioc injury and depression of automatic nerve system.