颈髓损伤并发心律失常分析  

Arrhythmia in Patients with Cervical Spinal Cord Injury:61 Cases Report

作　　者：林伟[1,2] 李寿霖[1,2] 孟申[1,2] 周红俊[1,3] 刘杰[1,2] 陈思远[1,2] 雒生杰[1,2] 李建军[1,3] 

机构地区：[1]首都医科大学康复医学院,北京市100068 [2]中国康复研究中心北京博爱医院心血管内科,北京市100068 [3]中国康复研究中心北京博爱医院脊髓损伤康复科,北京市100068

出　　处：《中国康复理论与实践》2010年第5期415-416,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨颈髓损伤患者的心律失常及发病机理。方法回顾性分析61例颈髓损伤患者的心律失常发生情况。结果窦性心动过缓的总发生率为26.2%;病程3个月内窦性心动过缓的发生率(52.4%)高于病程>3个月发生率(12.5%);C5以上损伤者窦性心动过缓发病率(46.2%)高于C6-8者(11.4%)。结论急性期窦性心动过缓的发生率为52.4%,但急性期以后心律失常发生风险仍然很大,应持续监测。Objective To explore the arrhythmia happened in patients with cervical spinal cord injury （CSCI）.Methods 61 patients with CSCI were retrospectively analyzed.Results The overall incidence of sinus bradycardia was 26.2%,which was higher in the cases within 3 months （52.4%） than over （12.5%）;and was higher in cases injured the cord above C5 （46.2%）than lower （C6-8,11.4%）.Conclusion The risk of arrhythmia is still high in chronic phase,which still need to monitor.

关 键 词：颈髓损伤 心律失常 窦性心动过缓 

分 类 号：R651.2[医药卫生—外科学]