自发性蛛网膜下腔出血患者心电图异常的影响因素及其与预后的关系

The Influencing Factors of ECG Abnormalities in Patients with Subarachnoid Hemorhage and Their Relations with Prognosis

目的：探讨自发性蛛网膜下腔出血（SAH）患者早期心电图异常的影响因素及其与预后的关系。方法：收集上海华山医院2000年1月至2006年6月收治的800例SAH患者年龄、发病时的意识水平、血压、Fisher分级及合并脑疝、脑积水、脑血管痉挛、脑室出血、肺部感染、上消化道出血等资料，分析其与心电图异常的相关性以及心电图异常与预后的相关性。结果：患者年龄、发病时意识障碍、Fisher分级以及合并脑疝、脑积水、脑血管痉挛等因素均与心电图异常相关，心电图异常与预后显著相关。结论：对于急性SAH患者，应重视心电图监护，采取积极的预防措施，严格防治并发症，保护心功能，改善患者的预后。

Objective： To investigate the influencing factors of early ECG abnormalities in patients with spontaneous subarachnoid hemorrhage （SAH） and their relations with prognosis. Methods： The data of age, consciousness level at the onset of symptoms, blood pressure, Fisher ＇s classification of the patients, as well as complicated brain hernia, hydrocephalus, cerebrovascular spasm, intraventricular hemorrhage, pulmonary infection, and upper gastrointestinal hemorrhage in 800 patients with SAH, who were admitted to Shanghai Huashan Hospital, were collected from January 2000 to June 2006. Their correlations with the ECG abnormalities and the prognosis were analyzed. Resets： The factors including age, consciousness at the onset of symptoms, Fisher＇s classification of the patients, as well as complicated brain hernia, hydrocephalus, and cerebrovascular spasm were all correlated with ECG abnormalities, and ECG abnormalities were significantly correlated with the prognosis. Conclusion. Much attention should be paid to ECG monitoring for patients with acute SAH. The aggressive preventive measures should be taken to rigorously prevent and treat complications, protect heart function, and improve the prognosis of patients.