颅内疾病的心电图改变  

Electrocardiogram changes of intracephalic diseases

作　　者：陈洋[1] 吕萍[1] 谈宜[1] 

机构地区：[1]新疆医科大学第二附属医院,新疆乌鲁木齐830028

出　　处：《新疆医科大学学报》2004年第5期508-509,共2页Journal of Xinjiang Medical University

摘　　要：目的 :探讨颅内疾病的心电图改变及对预后的影响。 方法 :将我院 1999年以来的 10 2例颅内疾病患者的心电图资料按病因分为 4组 ,所有患者均于发病 1～ 2d内入院 ,常规描记 12导联心电图 ,住院期间定期复查。结果 :心电图改变主要为复极障碍 (ST段下移 ,T波倒置、低平或双向以及Q T间期延长 ) ,其次为心律失常。 4 0例重型颅脑外伤及蛛网膜下腔出血者中心电图异常 36例 ,正常 4例 ,死亡组心电图异常率及程度均重于存活组。结论 :“脑型心电图改变”主要表现为ST T改变和冲动起源异常的心律失常是暂时的应激反应。发生急性颅内病变时要及时识别 ,积极予以处理 ,以减轻脑损伤所致的心脏损害。Objective: To study the electrocardiogram (ECG) changes and its influence on the intracephalic diseases. Methods: 102 cases with intracephlic diseases were observed from 1999 to 2004. According to their ECG the patients were devided into 4 groups. Each patient were in hospital within 1～2 days after attacked. 12 leads ECG were recorded and reviewed routinely. Results: The main various of ECG were peolarilation alnormality (including ST segment descent, T wave inversion, T wave low-flat or biphasic T wave and prolonged QT). Other ECG changes were cardiac arrhythmia. Among the 40 severe type bain trauma and subarachnoid hemorrhage patients there were 36 cases with abnormal ECG. The ratio of abnormal ECG in death group is significantly higher than that of the survival one. Conclusion: The chief sign of the cerbro-cardiacsyndrom are ST-T change and faults impuls origin what are temporary stress reaction. As a result, as soon as the acute intracephalic diseases taken place, some measure should be taked actively, so as to release the cerbro-cardiacsyndrom.

关 键 词：心电图改变 颅内疾病 心电图异常 患者 心律失常 12导联心电图 T波倒置 结论 中心 目的 

分 类 号：R541[医药卫生—心血管疾病] R540.41[医药卫生—内科学]