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目的通过观察急性脑血管病患者的心电图变化特点,探讨急性脑血管病的心电图变化原因、特点及其与临床事件之间的关系。方法回顾性分析本院50例经颅脑CT或MRI确诊为急性脑血管疾病并行心电图检查患者的临床资料。结果 50例急性脑血管疾病患者中:心电图异常40例,异常率80%。其中脑血栓22例,异常率72.7%;脑出血28例,异常率85.7%;经治疗后好转及痊愈出院41例,心电图异常者死亡8例,占88.9%,心电图正常者死亡1例,占11.1%。结论严密观察急性脑血管疾病患者的心电图变化对指导治疗和改善预后具有重要的临床意义。
Objective To investigate the causes and characteristics of electrocardiogram (ECG) changes in acute cerebrovascular disease and its relationship with clinical events by observing the characteristics of ECG changes in patients with acute cerebrovascular disease. Methods The clinical data of 50 patients diagnosed as acute cerebrovascular diseases complicated with electrocardiogram by CT or MRI in our hospital were retrospectively analyzed. Results 50 patients with acute cerebrovascular disease: 40 cases of abnormal ECG, abnormal rate of 80%. Among them, 22 cases were cerebral thrombosis, with an abnormal rate of 72.7%; 28 cases of intracerebral hemorrhage with an abnormal rate of 85.7%; 41 cases recovered and recovered after treatment; 8 cases died of abnormal electrocardiogram (88.9%); 1 died of normal electrocardiogram 11.1%. Conclusions The close observation of ECG changes in patients with acute cerebrovascular disease has important clinical significance in guiding treatment and improving prognosis.