急性脑出血患者的心功能改变  

The heart function change in patients with acute cerebral hemorrhage

作　　者：丁艳辉[1] 柳青[1] 

机构地区：[1]重庆医科大学附属第一医院临床研究中心,重庆400016

出　　处：《重庆医科大学学报》2010年第4期617-619,共3页Journal of Chongqing Medical University

摘　　要：目的:通过探讨急性脑出血(Cerebral hemorrhage,CH)患者的心电图异常改变与出血部位、脑损害严重程度及预后的关系,以了解患者由CH引起的心脏功能改变。方法:对304例经CT扫描确诊的、排除合并基础性心脏疾病的急性CH患者按照相关标准进行分组,并对其心电图(Electrocardiogram,ECG)结果进行分析。结果:急性CH患者心电图异常发生率为67.1%(204/304),且ECG的异常改变与出血部位的不同密切相关,而与脑损害的严重程度关系并不十分密切,但心功能的异常改变与脑损害的严重程度在对预后的影响上保持一致,P值均小于0.05。结论:急性出血性脑血管意外的发生可以引起患者心功能的异常改变,且该改变与脑出血的部位不同密切相关,并与脑损害的严重程度一起共同严重影响患者预后;而心功能的异常改变与脑损害的严重程度之间的关系并不十分密切。Objective：To get the message ofthe cardiac dysfunction arises from the cerebral hemorrhage in CH patients by investigate the relationship among the Electrocardiographic abnormalities、the hemorrhagic location、the cerebral lesion degree and the outcome.Methods：Analysis the ECG of the 304 acute hemorrhagic stroke patients who made the final diagnosis by CT,without the history of heart disease.Results：There are evident change of the ECG in acute hemorrhagic stroke patients,the total incidence rate reach up to 67.1%（204/304）,and these change keep close tothe cerebral lesion location that different fromthe relation between themand the cerebral lesion degree and link with the prognosis with the cerebral lesion degree,P〈0.05.Conclusion：The acute cerebral hemorrhage may lead to the ECG abnormalities,and these change keep close to the hemorrhagic location and link with the prognosis together with the cerebral lesion degree;however,the relationship between them and the cerebral lesion degree is not so close.

关 键 词：脑出血 心电图 脑心综合征 

分 类 号：R743.34[医药卫生—神经病学与精神病学]