重型颅脑创伤心电图变化与预后关系的临床研究  

CLINICAL RESEARCH OF THE RELATION BETWEEN CHANGE OF ELECTROCARDIOGRAM AND PROGNOSIS OF SEVERE CRANIOCEREBRAL TRAUMA

作　　者：张文坡[1] 张卓[1] 郭立刚[1] 

机构地区：[1]解放军252医院神经外科,071000

出　　处：《现代电生理学杂志》2014年第4期204-206,共3页Journal of Modern Electrophysiology

摘　　要：目的:探讨重型颅脑创伤病人心电图变化与预后的关系。方法:回顾性分析116例重型颅脑创伤病人,GCS<8分,均经CT或MRI确诊,入院后6小时行常规心电图检查,3天、7天后复查,并结合临床资料进行分析。结果:GCS≤8分患者中有96%出现心电图异常,其中随着颅脑外伤病情的好转,心电图异常也随着好转消失的占94.5%,死亡者心电图异常始终存在。结论:心电图异常对估计心脏本身受损程度及颅脑外伤的病情和预后均有重要的指导意义,重型颅脑创伤后出现心电图改变常提示病情危重及预后不良。Objective： To explore the relation between the change of electrocardiogram and prognosis of severe craniocerebral trauma. Methods： 116 patients with severe cranioeerebral trauma, GCS〈8 all the patients are diagnosed by CT or MRI and examined by ECG during 6 hours after hospitalized and checked again in 3 and 7 days,and were analyzed combined with the clinical data. Results：96% patients with GCS≤ 8 have abnormal electrocardiogram, abnormal electrocardiogram of 94% patients improved and disappeared with improvement of state of craniocerebral trauma. The abnormal electrocardiogram was persistent existence in death cases. Conclusion： The abnormal electrocardiogram has practical value to estimate both the grade of heart injury and the state and prognosis of severe craniocerebral trauma.

关 键 词：重型颅脑创伤 心电图 

分 类 号：R651.15[医药卫生—外科学]