论文部分内容阅读
目的:探讨急性脑血管病(ACVD)并发脑心综合征(CCS)的临床特征、发病机制和防治措施。方法:对168例CCS患者的临床资料进行回顾分析。结果:本组急性脑卒中后CCS发生率为35.3%,发生在卒中后1周内的CCS占97%,心脏损害的主要表现为心电图(ECG)的ST-T改变、心律失常、假性心肌梗死样图形以及急性心力衰竭及心肌酶的异常。其发生与卒中类型有关,出血性脑卒中发生CCS(53.5%)明显高于缺血性脑卒中(23.5%)(P<0.01);急性期治疗后好转率为68.5%,死亡率为31.5%。结论:积极降低颅内压(ICP)、保护心脏功能、控制心律失常、心电监测等对患者安全度过急性期有较好的作用。
Objective: To investigate the clinical features, pathogenesis and prevention and treatment of acute cerebral vascular disease (ACVD) complicated with brain-heart syndrome (CCS). Methods: The clinical data of 168 patients with CCS were retrospectively analyzed. Results: The incidence of CCS was 35.3% in acute stroke and 97% in one week after stroke. The main manifestations of cardiac damage were ST-T changes of electrocardiogram (ECG), arrhythmia, Infarction-like graphics, as well as acute heart failure and myocardial enzyme abnormalities. The incidence of hemorrhagic stroke was significantly higher than that of ischemic stroke (53.5% vs 23.5%, P <0.01). The improvement rate of acute stroke was 68.5% and the mortality rate was 31.5% . Conclusions: Active reduction of intracranial pressure (ICP), protection of cardiac function, control of arrhythmia, ECG monitoring and so on have a good effect on the safety of patients through acute phase.