颅脑损伤对血清肌酸磷酸激酶及心电图的影响  

The study of serum CPK and ECG changes in patients with heml injury

作　　者：钟天安[1] 李丽娟[1] 许亦群[1] 贾军[1] 仪立志[1] 

机构地区：[1]广东深圳市龙岗中心医院神经外科,深圳518116

出　　处：《中国实用神经疾病杂志》2007年第3期17-18,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的研究颅脑损伤对血清磷酸肌酸激酶及心电图变化的影响。方法随机选取95例颅脑损伤病人,其中GCS评分9～12分32例,6～8分33例,3～5分30例。全部病例在入院后立即进行ECG检查,异常者定期复查。并于入院后当天、第2、4、7、10d进行血清CPK检测结果95例病人中伤后有55例心电图异常,并且所有病例都有血清肌酸磷酸激酶升高,且升高程度与颅脑损伤的严重程度呈正相关。结论颅脑损伤可导致心肌损害的发生,且心肌损害的程度与颅脑损伤的程度呈正相关。Objective To study the changes of serum CPK and ECG in patients with head injury. Methods 95 cases of patients with head injury were randomly divided into three groups by GCS. GCS were in 32 cases of 9-12, 6-8 in 33 cases of , 3-5 in 30 cases. All patients were examined the ECG as soon as admission, and the abnormal patients were rechecked regularly. And all patients were examined the serum CPK in first day, second day, forth day, seventh day, and tenth day after admission. Results ECG were abnormal in 55 cases. And serum in all cases of CPK increased, the degree of serum CPK heightening and the head injury were positive correlatioru Conclusion The head injury can resulte in cardiac damage, the degree of cardiac damage and the head injury are positive correlation.

关 键 词：颅脑损伤 血清肌酸磷酸激酶 心电图 

分 类 号：R651.15[医药卫生—外科学]