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本文总结我院经CT诊断的128例颅内病变患者心电图变化。①总的看来肿瘤组、出血组、缺血组其改变的发生率分别为97.14％、97.50％、91.49％,三组无显著性差异(P>0.05)。②仔细分析三组改变具体表现ST—T波变化和冲动起源异常三组无显著性差异,但心房、心室肥厚和传导异常肿瘤组较少,似乎提示“脑型心电图改变”主要是ST—T波和冲动起源异常。③认识“脑型心电图改变”和“假性心肌梗塞”对判断病人预后和指导治疗均有意义。④我们提出今后临床采取措施预防颅內病变引起心律失常和心肌损伤的设想。
This article summarizes our hospital by CT diagnosis of 128 cases of intracranial lesions in patients with ECG changes. ① The overall incidence of the changes in the tumor, hemorrhage and ischemic groups was 97.14%, 97.50% and 91.49% respectively, with no significant difference among the three groups (P> 0.05). ② careful analysis of the three groups to change the specific performance ST-T wave changes and impulsive origin of the three groups showed no significant difference, but atrial, ventricular hypertrophy and conduction abnormalities in the tumor group less, it seems that “brain ECG changes” is mainly ST-T Abnormal origin of waves and impulses. ③ understanding “changes in brain-based electrocardiogram” and “false myocardial infarction” to judge the prognosis of patients and guiding treatment are meaningful. ④ We propose the future clinical measures to prevent intracranial lesions caused by arrhythmia and myocardial damage of the idea.