分析探讨脑出血急性期心电图的变化  

作　　者：陈照宁[1] 

机构地区：[1]辽宁省人民医院心功能科,辽宁沈阳110016

出　　处：《中外健康文摘》2009年第04X期13-14,共2页The Chinese and foreign health abstract

摘　　要：目的分析探讨脑出血急性期心电图改变。方法对经CT检浏证实脑出血急性期患者，于入院后48小时内通过244、时心电监护，反复常规I2导联心电图检查跟踪，作分析。结果心电图167例中死亡28例．治愈或好转159例。主要改变以J波、ST段抬高或下移、其次为Q—Tu间期延长、巨大T波和恶性室性心律失常等。结论心电图异常发生率较高，并与病情严重程度相关．可随颅内病变的好转而逐渐恢复。一旦出现一过性ST段抬高、J波、Q—T间期延长、恶性室性心律失常，提示预后较差。Objective To analyze and discuss the ECG changes in acute stage of cerebral hemorrhage. Method Make the analysis on the＇ 167 cases, that have been verified as acute stage of cerebral hemorrhage patients though CT exzamination, in the way of 24 hours electrocardio-guardianship and repeating routine 12 lead electrocardiogram checking track in 48 hours after hospitalizing. Results In the 167 electrocardiogram cases,there are 28 died, 139 cured or improved. the firstly main change is J wave, ST-segment-elevation or descend. The next main change is Lengthening of QT interval, huge T wave and malignant cardiac ventricle HR abnormal. Conclusion ECG abnormal rate is fairlY high that correlate to pathogenetic condition level. It could recorver gradually following the improving of intracal process.But once disposable ST-segment-elevation,J wave, Lengthening of QT interval, or cardiac ventricle HR abnormal showed up, it is a cue of worse prognosis.

关 键 词：脑出血 心电图改变预后 

分 类 号：R540.41[医药卫生—心血管疾病]