急性颅脑损伤合并脑心综合征的临床防治分析

Clinical prevention and treatment of acute craniocerebral injury complicated with brain heart syndrome

目的探讨急性颅脑损伤合并脑心综合征的临床防治效果。方法选择2014年1月至2015年12月收治的60例急性颅脑损伤合并脑心综合征患者作为研究对象,对所有患者进行心电图、心肌酶学检查,分析检查结果,并探讨相应的防治措施。结果通过分析心电图和心肌酶学检查结果,心电图异常患者共48例(80.00%),有31例(64.58%)患者发生心肌酶学改变,心脏的异常改变与患者病情严重程度有很大的联系,尤其是合并心脏改变的患者病死率更高。结论对急性颅脑损伤患者进行常规急诊治疗的同时,应注重患者脑心综合征的发生情况,做到尽早发现、尽早干预,这样才能提高预后效果。

Objective To investigate the clinical prevention and treatment effects of acute craniocerebral injury compli- cated with brain heart syndrome. Methods A total of 60 cases of acute craniocerebral injury complicated with cerebral cardiac syndrome from Jan 2014 to Dec 2015 were selected as the research objects, the electrocardiogram （ECG） and myo- cardial enzymology of all patients were examined, the test results were analyzed, and the corresponding prevention and con- trol measures were investigated. Results Through the analysis of ECG and myocardial enzymes in the 60 patients, abnor- mal ECG examination results in a total of 48 cases （80%）, 31 cases （64. 58% ） had myocardial enzyme changes. Heart abnormal changes were correlated with the severity of heart disease, especially the patients with cardiac changed had higher mortality rate. Conclusion In order to improve the prognosis of patients with acute craniocerebral injury, we should pay attention to the occurrence of patients with brain heart syndrome.