急性脑血管病合并脑心综合征临床分析

Study on Clinical Characteristics of Acute Cerebral Vascular Disease Combined with Cerebral Cardiac Syndrome

目的：总结急性脑血管病（ACVD）合并脑心综合征（CCS）患者的临床特点。方法回顾性分析收治的40例ACVD合并CCS患者的临床资料。结果心力衰竭、心律失常与心肌缺血、急性心肌梗死为ACVD合并CCS患者主要的临床表现，且出血性脑血管病合并CCS患者出现心律失常情况明显高于缺血性脑血管病（P﹤0.05），但后者发生心肌缺血与急性心肌梗死情况更高，且病变部位多发生在基底节，而患者心电图发生变化多在住院后的24～48 h，52.5%存在心肌酶谱异常，20%合并低钠血症和（或）低钾血症。结论 ACVD合并CCS患者临床多表现为心律失常与心肌缺血，且出血性脑血管病合并CCS发生率更高，需尽早诊断，尽早治疗。

Objective To summarize the clinical characteristics of acute cerebral vascular disease （ACVD） combined with cerebral cardiac syndrome （CCS）.Methods Clinical data of 40 patients with ACVD combined with CCS were retrospectively analyzed.Result Heart failure, arrhythmia and myocardial ischemia and acute myocardial infarction for ACVD with CCS of patients, the major clinical manifestations, and hemorrhagic cerebrovascular disease with CCS patients appear arrhythmia was higher than that in ischemic cerebrovascular disease （P﹤0.05）, but the latter myocardial ischemia and acute myocardial infarction is higher （P﹤0.05）, and the lesion occurred in the basal ganglia, and EKG changes much in the hospital after 24~48 h, 52.5% of myocardial enzyme spectrum anomaly, 20% with low sodium blood and （or） of low potassium blood disease.Conclusion The clinical manifestations of ACVD combined with CCS were arrhythmia and myocardial ischemia, and the incidence of hemorrhagic cerebral vascular disease with CCS was higher, and it is necessary to diagnose as early as possible.