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目的:通过临床治疗与综合分析得出治疗急性脑卒中神经源性心脏损害的原则。方法:回顾性分析本院最近两年收治的急性脑卒中患者92例,从中选取并发神经源性心脏损害的患者共56例作为研究对象,占脑卒中患者总数的比例为60.87%。对所有患者的心肌酶指标与心脏指标进行常规检查,通过全面分析92例患者并重点观察56例并发神经源性心脏损害患者的临床异常症状得出结论。结果:急性脑卒中并发神经源性心脏损害的概率为60.87%,脑卒中心电图与心肌酶谱结果显示,不同病发部位、不同性质和不同意识状态的心电图和心肌酶谱异常率普遍较高。虽然56例并发神经源性心脏损害患者的死亡率相对较高,但仅患急性脑卒中患者的死亡率与之相比并无统计学意义,预后较差。结论:急性脑卒中患者临床并发神经源性心脏损害的概率较高,治疗原则应当在积极治疗原发病的基础上重点强化对患者心脏的监护,避免神经源性心脏损害病情被掩盖,延误对患者的治疗。如此才能改善预后,降低患者的病死率。
Objective: Through the clinical treatment and comprehensive analysis of the treatment of acute stroke, the principles of neurogenic heart damage. Methods: A retrospective analysis of our hospital in the last two years, 92 cases of acute stroke patients, selected from patients with concomitant neurogenic heart damage in 56 cases as the study object, the total number of stroke patients was 60.87%. All patients were routinely examined for myocardial enzymes and cardiac indexes. The results of a comprehensive analysis of 92 patients and the clinical observation of 56 patients with concomitant neurogenic heart damage were summarized. Results: The incidence of neurological heart damage in acute stroke was 60.87%. ECG and myocardial enzyme spectrum of stroke showed that abnormalities of electrocardiogram and myocardial enzymes were generally higher in different sites, different types and different states of consciousness. Although the mortality of 56 patients with concomitant neurogenic heart damage is relatively high, the mortality rate in patients with acute stroke alone was not statistically significant and the prognosis was poor. Conclusions: The probability of clinical concomitant neurogenic heart damage in patients with acute stroke is high. The principle of treatment should be based on the active treatment of primary disease, and focus on strengthening the monitoring of the patient’s heart, avoiding the damage of neurogenic heart damage, Patient’s treatment. This can improve the prognosis and reduce the patient’s mortality.