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目的:分析心血管病合并急性脑血管病的心电图特点及其临床意义。方法:研究选取的对象是2013年1月至2014年3月收治的心血管病合并急性脑血管病患者,共70例,在起病后24 h内对患者运用心电图进行常规检查,并于三星期内再次运用心电图对患者进行复查,观察心电图变化特点。结果:在70例研究对象中,心电图表现异常的有56例。其中有16例患者心律紊乱:心房颤动、短阵性室速、室颤及游走性节律、房性其前收缩、窦性心动过缓、室性期前收缩、窦性心动过速;有32例患者S-T断延长及移位、U波出现、T波低平、倒置;有8例患者传导障碍:P-R间期延长,房室或结性心律分离。结论:心血管病合并急性脑血管病的病情变化直接影响着心电图的异常率,因此,心电图的异常率可以预测患者的病情,有一定的临床意义。
Objective: To analyze the characteristics of electrocardiogram (ECG) and its clinical significance of cardiovascular disease complicated with acute cerebrovascular disease. Methods: The study selected from January 2013 to March 2014 were admitted to patients with cardiovascular disease complicated by acute cerebrovascular disease, a total of 70 cases, within 24 h after onset of the patient using ECG for routine examination, and in the three Week ECG re-use of the patient review, observe the characteristics of ECG changes. Results: Of the 70 study subjects, 56 had abnormal ECG findings. Among them, 16 patients had cardiac arrhythmias: atrial fibrillation, mammography, ventricular fibrillation and migratory rhythm, atrial contraction, sinus bradycardia, premature ventricular contraction, sinus tachycardia, and Twenty-two patients had ST-segment prolongation and displacement, U wave appeared, T wave was flat and inverted, and 8 patients had conduction disturbance: prolonged PR interval and atrioventricular or nodal separation. Conclusion: The changes of cardiovascular diseases with acute cerebrovascular disease directly affect the abnormal rate of ECG, therefore, the abnormal rate of ECG can predict the patient’s condition, and has certain clinical significance.