老年人急性脑卒中并脑心综合征66例临床分析

The Clinical Analysis of 66 Senile Patients with Acute Stroke combined with Cerebrocardic Syndrome

目的:总结老年人急性脑卒中并脑心综合征的临床特点和防治措施。方法:回顾性分析2010年1月至2012年12月收治的老年人急性脑卒中并脑心综合征患者66例的临床资料。结果:老年人急性脑卒中时脑心综合征的发生率为64.7%,好发于出血性卒中、病变近大脑中线部位及意识障碍患者;心电图主要表现为复极异常及心律失常。结论:老年人出血性卒中、近大脑中线部位病变及意识障碍患者易并发脑心综合征,在临床处置急性脑卒中的同时,应加强心脏方面的检查及治疗。

Objective： To summarize the clinical characteristics, prevention and cure measures of senile patients with acute stroke combined with cerebrocardic syndrome. Methods： The clinical data of 66 senile patients with acute stroke combined with cerebrocardic syndrome were retrospectively analyzed from Jan 2010 to Dec 2012. Result： The incidence rate of cerebrocardiac syndrome induced by senile acute stroke was 64.7% .It was prone to occur in the patients with hemorrhage stroke, the site of disease more near the brain midline and disturbance of consciousness. The major manifestation of electrocardiogram was repolarization abnormality and arrhythmia. Conclusion： It is easy to occur cerebrocardic syndrome for senile patients with acute stroke that the patients suffered from hemorrhage stroke, the site of disease more near the brain midline and disturbance of consciousness. We must pay more attention to the examination and treatment of the heart dealing with the acute stroke.