脑岛叶梗死与ECG异常的关系探讨  

Relationship between insular infarction and ECG abnormalities

作　　者：秦伟[1] 胡文立[1] 杨磊[1] 

机构地区：[1]首都医科大学附属北京朝阳医院,北京100020

出　　处：《山东医药》2007年第27期32-33,共2页Shandong Medical Journal

摘　　要：目的通过观察急性大脑中动脉供血区脑梗死患者的ECG改变来分析岛叶梗死与ECG的关系。方法回顾性分析280例急性大脑中动脉供血区的非腔隙性脑梗死患者,根据其头MRI弥散相上是否有岛叶受累分为岛叶梗死组和非岛叶梗死组,通过回顾患者入院时的ECG,观察岛叶梗死与ECG异常的关系。结果124例(44%)患者的MRI弥散相上见到岛叶不同程度的梗死,ECG分析发现ST-T异常见于85例岛叶梗死患者和78例无岛叶梗死的患者(P<0.01)。QT间期延长在右侧岛叶梗死更常见。结论岛叶梗死患者的ECG改变主要表现为非特异性的ST-T异常。[ Objective] To determine the relationship of insular involvement in acute middle cerebral artery （MCA） territory infarction and clinically relevant electrocardiographic changes. [ Methods ] 280 patients with acute non-lacunar MCA territory stroke were retrospective studied. By undergoing magnetic resonance imaging （ MRI）, including diffusionweighted imaging, these patients were divided into two groups ： infarction with insular involvement and infarction without insular involvement. Evaluate the admission ECG to investigate the relationship of insular infarction and clinically relevant electrocardiographic changes. [ Results] Insular lesions were present in 124 patients （44%） by MRI. ECG changes were mainly ST-T abnormalities, in general, there was 85 of 124 patients, who had ST-T abnormalities, which is significantly higher than noninsular infarction group. QT interval lengthening was more common in right insular infarction patients. [Conclusions] The main ECG changes in patients with insular infarctions are nonspecific ST-T abnormalities.

关 键 词：岛叶梗死 心电描记术 大脑中动脉 

分 类 号：R743.33[医药卫生—神经病学与精神病学]