自发性蛛网膜下腔出血与心电图异常的关系

Clinical study on complication and relationship of abnormal electrocardiogram in subarachnoid hemorrhage

目的探讨自发性蛛网膜下腔出血(SAH)与心电图(ECG)异常之间的关系。方法通过回顾性研究452例SAH患者的临床资料,其中236例出现ECG异常,记录患者的性别、Hunt-Hess分级、既往病史、ECG改变情况,分析这些因素与ECG异常之间的关系。结果 SAH患者中,既往有心、脑血管疾病合并症史患者出现ECG异常的比例明显高于无合并症者,随着Hunt-Hess分级的增高,出现ECG异常的比例逐渐增高,说明SAH的病情对ECG有明显影响。结论既往有心、脑血管疾病合并症以及Hunt-Hess分级较高的SAH患者并发ECG异常的比例较高,因此要关注对此类患者的ECG检查并给予合理干预。

Objective To investigate the relationship between SAH and abnormal ECG changes. Methods Retrospective study of 236 cases of abnormal ECG among 452 SAH patients was done in the research. Gender, HuntHess grade, case history and detailed information of ECG changes of the patients were recorded to analysis their relation with ECG. Results Patients with cardio-cerebrovascular disease had a higher tendency with abnormal ECG after SAH. The number of abnormal ECG increased with increment of Hunt-Hess grade. Conclusion Patients with cardiocerebrovascular disease and higher Hunt-Hess grade are prone to have abnormal ECG after SAH. ECG examination and treatment should be taken carefully for such patients.