220例急性脑出血患者心电图分析  

Analysis of electrocardiogram in 220patients with acute cerebral hemorrhage

作　　者：周矗[1] 徐坤洋 

机构地区：[1]新疆维吾尔自治区人民医院体检中心,新疆乌鲁木齐市830001 [2]新疆交通医院急诊科

出　　处：《心血管康复医学杂志》2009年第4期391-392,395,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:通过观察急性脑出血患者的心电图改变,探讨急性脑出血对心脏的影响及临床意义。方法:对220例入院急性脑出血患者常规进行12导联心电图检查后,对其资料进行回顾性分析。结果:188例心电图异常者中179例(95.21%)为重症患者,32例正常心电图患者中只有1例(3.12%)为中重型病人;188例心电图异常的201例次心电图异常中小脑出血(6.5%)、蛛网膜下腔出血(8.5%)的心电图异常显著少于壳核(35.3%)、丘脑(24.9%)、脑叶出血(19.9%)的心电图异常(x2=6.65,P<0.01)。结论:急性脑出血患者并发心电图异常者绝大部分为中、重症患者,急性脑出血患者的心电图改变与出血部位有关。Objective： To study the significance of acute cerebral hemorrhage for heart injury through electrocardiogram （ECG） analysis. Methods： The data of electrocardiogram by 12 lead in 220 patients with acute cerebral hemorrhage were retrospectively analyzed. Results： There were midrange-severe patients of 179 cases （95.21%） in 188 acute cerebral hemorrhage patients with abnormal ECG , but there were severe case patients of one case （3.12%） in 32 acute cerebral hemorrhage patients with abnormal ECG. （P〈0.01）. There were 201 shares of abnormal ECG in 188 patients with abnormal ECG, in which, the incidence of abnormal ECG of cerebellum hemorrhage （6.5%） and subarachnoid hemorrhage （8.5 %） were significantly less than that of putamen hemorrhage （35.3 % ）, thalamus hemorrhage （24.9%） , and hemorrhage of brain lobe （19.9%） （x^2 = 6.65, P〈0.01）. Conclusion.. The acute cerebral hemorrhage patients with abnormal ECG of overwhelming majority are midrange-severe patients. Abnormal ECG of patients with acute cerebral hemorrhage is related with hemorrhage position.

关 键 词：脑出血 心电描记术 心脏损伤 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R473.5[医药卫生—临床医学]