56例脑心综合征临床分析

Clinical Analysis on Cerebrocardiac Syndrome

目的分析急性脑血管病对心脏的不良影响,并讨论其发生的机制及相应治疗措施。方法分析83例急性脑血管病患者标准导联心电图资料及其它临床资料。结果 83例急性脑血管病患者中,脑心综合征56例,发病率为67.5%。其中,蛛网膜下腔出血并脑心综合征发病率为75%,脑出血86.7%,脑梗死51.2%。脑心综合征中,心律失常和ST-T改变的发生率较高。结论急性脑血管病患者中,脑心综合征发生率较高,以心律失常和心肌缺血为主,心肌损害与脑损伤部位、类型和病情有一定关系。

Objective To analyze the affection of acute cerebral vascular disease on heart and discuss its mechanism and treatment.Methods The clinical materials of 83 cases of such patient were analyzed retrospectively.Results The cerebrocardiac syndrome incidence was 67.5% among them 75% in SAH,86.7% in hemorrhage and 51.2% in CI.The highincidence of arrythmia and ST-T changes was higher.Conclusion The incidence of crebrocardiac syndrome was higher with arrhythmia and ischemia.The relation of injury between cardiac should be related with cerebral location,types and situation.