论文部分内容阅读
急性脑血管意外与心电图改变的关系,早、在1947年由Byer等人报告。近年来国内已引起重视,并且提出“脑——心卒中”的名词。典型病例:男,55,岁农民。入院前3小时在田间劳动,突感头昏。右侧上下肢无力,跌倒,送进医院。既往有高血压史。查:神清,反应迟钝,右侧鼻唇沟变浅,伸舌右偏,右侧上下肢肌力Ⅳ度,右侧腹壁反射消失,巴彬氏征阳性,左侧均正常。即刻心电图示:1、窦性心动过缓及不齐;2、Q——T延长(0.56秒);3、可见U波。脑脊液检查:脑压180毫米水柱,淡红浑浊,细胞总数3000/立方毫米。白细胞10/立方毫米,联苯胺试验阳性,生化检查正常。按急性脑血管意外常规治疗后病情好转,复查心电图恢复正常。
The relationship between acute cerebrovascular accident and electrocardiographic changes was reported early in 1947 by Byer et al. In recent years, attention has been paid in China and the term “brain-stroke” has been proposed. Typical cases: male, 55, old peasant. 3 hours before admission to work in the field, suddenly felt dizzy. On the right upper limb weakness, fall, into the hospital. Past history of hypertension. Check: God clear, unresponsive, the right nasolabial fissure shallow, tongue right deviation, right upper quadrant muscle strength Ⅳ, right abdominal reflex disappeared, Papin’s positive sign, the left are normal. ECG immediately: 1, sinus bradycardia and missing; 2, Q - T extended (0.56 seconds); 3, visible U wave. Cerebrospinal fluid examination: intracranial pressure 180 mm water column, pale red muddy, the total number of cells 3000 / cubic millimeter. Leukocytes 10 / cubic millimeter, benzidine test was positive, biochemical tests were normal. Acute cerebrovascular accident by conventional treatment after the condition improved, check ECG returned to normal.