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目的探讨高血压病左心室肥厚增加脑卒中的机理及检查方法。方法回顾分析脑卒中与左心室肥大之间的关系,并对高血压左心室肥厚患者56例临床资料,均做心电图检查及超声心电图,观察左心室肥厚情况;结果其中心电图异常56例(左心室肥厚40例,左心室扩大16例);超声心电图异常者54例(左心室肥厚38例,左心室扩大16例);结论高血压左室肥厚是脑卒中发生的危险因素之一。由于心电图及超声心电图检查的自身的优点,能够在医院广泛开展,容易推广使用,对早期发现诱发脑卒中的左心室肥厚有临床指导意义,这样可减少脑卒中发生率。
Objective To investigate the mechanism and examination of stroke in hypertension patients with left ventricular hypertrophy. Methods The relationship between stroke and left ventricular hypertrophy was retrospectively analyzed. The clinical data of 56 patients with hypertensive left ventricular hypertrophy were examined by electrocardiogram (ECG) and echocardiography, and the left ventricular hypertrophy was observed. Results 56 cases Hypertrophy in 40 cases, left ventricular enlargement in 16 cases); 54 cases of abnormal echocardiography (left ventricular hypertrophy in 38 cases, 16 cases of left ventricular enlargement); Conclusion Hypertensive left ventricular hypertrophy is one of the risk factors for stroke. Because of the advantages of electrocardiogram and echocardiography, it can be widely used in hospitals and is easy to popularize. It is of clinical significance for early detection of left ventricular hypertrophy induced by stroke, which can reduce the incidence of stroke.