脑心综合征200例临床分析

Clinical Analysis of 200 Patients with Cerebro Cardiac Syndrom

目的探讨脑心综合症的发病机制、临床特点、治疗对卒中预后的影响。方法对200例脑心综合征(Cerebro–Cardiac Syndrom CCS)患者的发生时间、病变类型、病变部位、意识障碍进行分析。结果CCS多发生在卒中后72h(63%);CCS发病率为(53.33%),其中基底节区组26.5%,丘脑组31.5%,脑干组25.0%,脑叶组17.0%;脑出血患者合并CCS发生率较脑梗死患者高,P<0.05。结论脑心综合征发生常见丘脑、脑干部位病变,其发病机制可能与脑血管疾病导致的自主神经功能失调、神经体液功能紊乱有关。

Objective To explore the mechanism of Cerebro Cardiac Syndrom（CCS）,clinical manifestation、diagnosis、therapy and impact on the prognosis.Methods To the occur time of two hundreds cases of CCS,the relationship with the type of acute cerebrovascular disease﹑the position of acute cerebrovascular disease disturdance confusion、and the impact on the prognosis were analyzed retrospectively.Results The morbidity of CCS in thalamencephalon、basal ganglia﹑brainstem and lobar were 31.5%、 26.5%、25.0%、17.0%.The rate of cerebral hemorrhage were higher than cerebral infarcsion;Conclusion the cerebral apoplexy is related with abnormal discharge of neurons resulting from cerebral cortex or abnormal of blood circulation.It is of great clinical value in providing early prevention and therapeutic and shorten epilepsy after stroke.