摘要
目的 观察急性脑出血患者心电图改变及其与出血部位的关系。方法 2 6 0例自发性脑出血患者入院后2 4h内常规描记12导联ECG ,并对其与临床关系进行分析。结果 2 6 0例中14 2例出现心电图缺血样改变,异常率为5 4 .6 2 %。ECG中有心电图缺血样改变者死亡75例(92 .5 9% ) ,无此改变者死亡6例(7.4 1% )。两组比较预后有统计学意义(P <0 .0 1)。结论 脑源性心脏缺血样改变与出血有直接关系,且与脑部病变部位及预后密切相关。心脏缺血样改变可作为急性出血性脑血管病判定预后的主要指标之一。
Objective To analyze the relationship between the onset of ischemic heart disease following cerebral hemorrahage and its hemorrahagic sites. Methods ECGs were done in 260 patients with acute intercerebral hemorrhage and the relationship between their ischemic heart diseases and clinical outcomes was analyzed. Results In these 260 patients,142 patients have ischemic heart diseases detected by ECG(54.62%). Sevenry-five deed patients in bad ischemic heart diseases ( 92.59%), but only 6 dead patients had no ischemic heart disease. There was a significant prognostic difference between these two groups (P<0.01). Conclusions The ischemic heart disease is induced by cerebral hemorrhage, and it closely correlates to the cerebral haemorrhagic site.Therefore, the presence of ischemic heart disease might be a primary prognostic factor to intracerebral hemorrhage.
出处
《苏州大学学报（医学版）》
CAS
北大核心
2005年第2期284-285,共2页
Suzhou University Journal of Medical Science
关键词
脑出血
心肌缺血
预后
cerebral hemorrhage
myocardiac ischemia
prognosis
