急性脑卒中致心脏骤停原因分析

Analysis of the causes of cardiac arrest induced by acute stroke

目的:探讨急性脑卒中致心脏骤停原因,以加强心脏骤停后治疗。方法:回顾性分析我科近三年来收治的36例急性脑卒中导致心脏骤停患者的病历资料,探讨急性脑卒中导致心脏骤停病因。结果:36例患者中29例考虑出现继发心肌损伤或心律失常而引起心脏骤停;5例因脑干生命中枢受损引起心脏骤停;2例呕吐物阻塞呼吸道,出现窒息而引起心脏骤停。结论:急性脑卒中致心脏骤停原因考虑:继发心肌损伤或心律失常、脑干生命中枢受损、窒息,以继发心肌损伤或心律失常最常见。

Objective：To discuss the reasons of cardiac arrest caused by acute stroke,so as to strengthen the comprehensive treatment after cardiac arrest. Method： Retrospectively analyzed the medical records of 36 patients with cardiac arrest caused by acute stroke treated in our department in the recent 3 years. Result：The cardiac arrest in 29 of the 36 cases were considered as secondary heart injury or arrhythmia caused; 5 cases were brain stem dam- age caused;2 cases were vomiting obstruction of respiratory tract and suffocation caused. Conclusion：The frequent causes of cardiac arrest caused by acute stroke include secondary heart injury or arrhythmia, brain stem damage, as phyxia. And secondary heart injury or arrhythmia might be the most common reason.