急性颅脑损伤患者心电图改变与病情程度和预后的关系

Relationship between Electrocardiogram Changes and Severity and Prognosis in Patients with Acute Craniocerebral Injury

目的探讨急性颅脑损伤患者心电图改变与病情程度和预后的关系。方法选取2014年5月—2016年1月兵器工业卫生研究所神经外科急诊入院的130例急性颅脑损伤患者,分别于伤后2 h内、第7天、第14天行十二通道心电图检查。结果急性颅脑损伤后2 h内发现异常心电图119例(91.5%),且以心律失常为主;发病后第7天、第14天分别有60例(46.1%)、111例(85.4%)患者心电图恢复正常。结论急性颅脑损伤与心肌损伤并存,监测心电图变化可为临床医师观察病情变化、及时处理心脏并发症及预后评估提供参考。

Objective To investigate the relationship between electrocardiogram changes and severity and prognosis in patients with acute craniocerebral injury. Methods 130 patients with acute traumatic brain injury who were admitted to Department of Neurosurgery of the Institutes of Health of China North Industries Group Corporation, from May 2014 to January 2016 were selected. Twelve - channel electrocardiogram was performed in 2 hours, 7th and 14th day after injury respectively. Results 119 cases （91.5%） were found abnormal electrocardiogram within 2 hours after acute craniocerebral injury, and arrhythmia was the main. 60 patients, （46. 1% ） and 111 patients, （85. 4% ） electrocardiogram returned to normal on the 7th and 14th day after the onset. Conclusion Acute traumatic brain injury and myocardial injury coexist, and monitoring electrocardiographic changes can provide a reference for clinicians to observe the changes of disease and to deal with the complications and prognosis of heart.