目的探讨急性脑卒中后脑心综合征(CCS)的临床特点、发病机制和防治措施。方法对60例CCS患者的临床资料进行回顾分析。结果本组急性脑卒中CCS主要表现为心电图ST-T改变(70%)、心律失常(46.7%)、心肌梗死(4.6%),治愈好转率95%,病死率3.3%。结论急性脑血管病并发心脏功能改变常见,积极进行心电图、心肌酶谱检查及应用扩冠状动脉、改善心功能、控制心律失常药物治疗对改善愈后有明显作用。 Objective To investigate the clinical features, pathogenesis and prevention and treatment of brain stem syndrome (CCS) after acute stroke. Methods The clinical data of 60 patients with CCS were retrospectively analyzed. Results The main manifestations of CCS in acute stroke were electrocardiogram ST-T changes (70%), arrhythmia (46.7%) and myocardial infarction (4.6%). The cure rate was 95% and the case fatality rate was 3.3%. Conclusions Acute cerebrovascular disease complicated by cardiac function changes are common. Positive ECG, myocardial enzymogram examination and application of coronary artery expansion, improve cardiac function, control of arrhythmia drug treatment to improve the prognosis after a significant effect.