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脑出血是老年人常见的致死病因之一。既往认为脑出血的死亡原因为脑疝,昏迷后的并发症。近来观察到有的脑出血病人出现严重的心律紊乱,甚至引起致命性心律失常后很快死亡。笔者近年来遇到老年人脑出血引起的致命性心律失常7例,报告如下: 临床资料 7例中男6例,女1例;年龄61~86岁,平均69.5岁。7例均在发病后6~72h内死亡,死后腰穿为均匀血性脑脊液,说明原发病为脑出血。入院后听诊有心律不齐而在床边描记心电图。从发病到描记心电图为2~48h,从出现心律失常到死亡为2~16h.其中一例为发病后2h急诊描记,一例为入院时心律整齐,第二天突然并发上消
Intracerebral hemorrhage is one of the common cause of death in the elderly. In the past that the cause of cerebral hemorrhage due to cerebral hernia, coma after the complication. It has recently been observed in some patients with cerebral hemorrhage severe arrhythmia, and even death caused by fatal arrhythmia. In recent years, I encountered seven cases of fatal arrhythmia caused by cerebral hemorrhage in the elderly, the report is as follows: Clinical data of 7 cases of 6 males and 1 females; aged 61 to 86 years, mean 69.5 years. All the 7 cases died within 6 ~ 72h after onset. After the death, lumbar puncture was uniform bloody cerebrospinal fluid, indicating that the primary disease was cerebral hemorrhage. Auscultation after hospitalization with cardiac arrhythmia in the bed tracing ECG. From onset to tracing ECG for 2 ~ 48h, from arrhythmia to death for 2 ~ 16h.One of the cases were 2h after the onset of emergency trauma, one case was admitted to the hospital when the rhythm of the heart, the next day suddenly complicated by the consumer