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目的探讨高血压脑出血心室电风暴患者预后的分析。方法对38例高血压脑出血(ICH)心室电风暴患者组与35例急性心肌梗死(AMI)心室电风暴患者组接受电除颤、电复律、植入型心律转复除颤器(ICD)、高血压脑出血血肿清除术及相关药物救治的预后进行对比分析。结果 38例高血压脑出血心室电风暴患者组24小时成活率为78.94%,2周内存活率为57.89%,1年内存活率为39.74%;35例急性心肌梗死心室电风暴患者组分别为62.85%、40.00%、31.42%,二者比较,P<0.05。5例高血压脑出血经颅内血肿清除术1年内均存活;2例高血压脑出血和6例急性心肌梗死植入型心律转复除颤器1年内也均存活。结论高血压脑出血心室电风暴患者的存活率较低,病死率很高,对该类患者应立即采取电除颤器、电复律、植入型心律转复除颤器、颅内血肿清除术及相关药物救治措施,改善预后,降低病死率,使患者获益。
Objective To investigate the prognosis of patients with hypertensive intracerebral hemorrhage after ventricular storm. Methods 38 patients with ICH patients with ventricular electrical storm and 35 patients with acute myocardial infarction (AMI) ventricular storm were subjected to electrical defibrillation, electrical cardioversion, implantable cardioverter defibrillator (ICD) ), Hypertensive intracerebral hemorrhage hematoma and related drug treatment prognosis for comparative analysis. Results The survival rate of 38 patients with hypertensive intracerebral hemorrhage with ventricular storm was 78.94% at 24 hours, 57.89% at 2 weeks and 39.74% at 1 year. The electrocardiogram of 35 patients with acute myocardial infarction was 62.85 %, 40.00% and 31.42%, respectively. P <0.05.5 hypertensive intracerebral hemorrhage intracranial hematoma removal within 1 year all survived; 2 cases of hypertensive intracerebral hemorrhage and 6 cases of acute myocardial infarction implanted arrhythmia Defibrillators also survived within 1 year. Conclusions The survival rate of patients with hypertensive intracerebral hemorrhage and ventricular electrical storm is relatively low, and the mortality rate is very high. Such patients should be treated with defibrillator, cardioversion, implantable cardioverter defibrillator, intracranial hematoma clearance Surgery and related drug treatment measures to improve the prognosis and reduce mortality, so that patients benefit.