为了探讨急性脑血管病的心性猝死的相关因素,观察了494例急性脑血管病和其中12例心性猝死者发病初期的心电图、CT、MRI改变。研究表明,脑卒中患者心电异常率为59.9%,而猝死者心电异常率为91.7%(P<0.05);病变部位与猝死发生关系不明显;脑梗塞组猝死人数占脑梗塞死亡人数比率高于脑出血组(P<0.05);猝死好发于轻型患者,在急性脑血管病发病第1月内,猝死的风险始终存在。 In order to investigate the related factors of sudden cardiac death in acute cerebrovascular disease, ECG, CT and MRI changes in 494 cases of acute cerebrovascular disease and 12 cases of sudden cardiac death were observed. The study showed that the rate of ECG abnormalities in stroke patients was 59.9%, while the rate of abnormal ECG in sudden death patients was 91.7% (P <0.05); the relationship between the location of the lesions and sudden death was insignificant; the rate of sudden death in cerebral infarction group (P <0.05); sudden death occurred in patients with light, the risk of sudden death in the first month of the onset of acute cerebrovascular disease always exists.