摘要
急性脑血管病时约30％病例发生急性心肌梗死或冠状动脉供血不足、心律失常。本组资料显示,77.2％(419/543)发生脑-心综合征。据分析与急性脑血管病后意识障碍程度、病变部位、血糖及电解质变化等因素相关。出血量大于60ml或/及破入脑室者脑心综合征的发病率明显增多。心电图改变类型,急性脑出血组以ST段、T波改变及窦性心动过速为主,脑梗死组主要以ST段及T波改变和窦性心动过缓比较明显,两组均可发生心肌梗死。本组资料显示:脑-心综合征的发生与急性脑血管愈后呈正相关。一旦出现脑-内脏联合综合征,死亡率达80％以上。
About 30 % acute cerbrovascular cases were complieated by acute myocardial infraetion or insufficent blood supply of the coronary artery fogether with arrhythmia. Our date showed that the rate of cerebro- cardiac syndromes was 77. 2 % (419/543) Our analysis showed that it might be related to the degree of the disturbance of consciousness, the variance of blood glucose and electrolytes, the location of lesions and etc. The group of acute cerebral hemorrhage presented the changes of S-T segment, T wave on EKG and showed mainly sinus tachycar- dia. The group of brain infarction had the S- T segment. T wave changes on EKG but sinus bradycardia mainly. Both groups can cause myocardial infarction. Our data demostrated the happening of the cerebrovascu - lar syndrome had positive correlation with prognosis. Once patient showed cerebrosplanchinic linkage syndrome the motality rate whould be as high as 80 % .
关键词
脑血管病
心电图
脑心综合征
Acute cerebrovasculardisease Cerebral hemorrhage Brain infarction EKG variance Cerebrocardioc syndrome
