脑出血患者心电图异常改变193例分析  

Abnormal Change of ECG in Patients With Cerebral Hemorrhage:Analysis of 193 Cases

作　　者：刘育辉 宋文英[2] 

机构地区：[1]福建泉州市人民医院,302000 [2]蚌埠医学院附属医院

出　　处：《中华全科医学》2003年第2期125-126,共2页Chinese Journal of General Practice

摘　　要：目的　拟对 193例颅内出血急性期心电图异常改变的分析 ,预测患者病情的预后。方法　对经CT证实的脑出血急性期检测的心电图有异常改变的患者进行跟踪分析研究。结果　本组心电图有异常改变的患者 193例 ,死亡 35例 ,治愈或好转 158例。多表现为J波、ST段抬高或下移及恶性室性心律失常。结论　脑出血急性期心电图的异常改变大部分可随着脑部病变的好转而逐渐恢复 ,一旦出现一过性ST段抬高、J波、并伴有恶性室性心律失常 。Objective To analyze the abnormal change of ECG of patients with intracranial hemorrhage in acute stage and the relations to the prognosis. Methods The abnormal change of ECG was follow-up analyzed in 193 cases with intracranial hemorrhage in acute stage confirmed by CT. Results 35 cases died. 158 cases were cured or improved. The main abnormalities of ECG were abnormal J wave, elevation or depress of ST segment, and malignant ventricular arrhythmias. Conclusions The abnormal change of ECG of patients with cerebral hemorrhage in acute stage can be recovered following the improvement of pathologic change. The appearance of J wave, transient elevation of ST segment, or malignant ventricular arrhythmias, and have unfavourable prognosis.

关 键 词：脑出血 异常心电图 死亡率 预后 

分 类 号：R743.34[医药卫生—神经病学与精神病学]