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目的研究急性脑血管病并脑心综合征的临床特征。方法对2010年2月至2012年1月我院收治的68例急性脑血管病并脑心综合征的患者进行回顾性分析。结果 68例患者均有不同程度的心电图及心肌酶的改变,ST段下移28例,T波低平或倒置15例,窦性心动过速26例;窦性心动过缓4例;早搏14例(室早10例,房早4例);心律不齐13例;心肌酶学:CK-B增高38例(55.9%);CK增高7例(10.3%);LDH增高19例(27.9%);肌钙蛋白阳性率4例(5.9%).死亡5例(7.5%),4例死于脑出血并发呼吸心力衰竭,1例脑梗死并发多脏器衰竭。结论急性脑血管病并脑心综合征的发生率脑出血最高,应尽早常规检查心肌酶、心电图,以便早发现早治疗。
Objective To study the clinical features of acute cerebrovascular disease and brain-heart syndrome. Methods A retrospective analysis was performed on 68 patients with acute cerebrovascular disease and brain-heart syndrome admitted to our hospital from February 2010 to January 2012. Results 68 patients had varying degrees of ECG and myocardial enzyme changes, ST segment down 28 cases, T wave low flat or inverted in 15 cases, 26 cases of sinus tachycardia; sinus bradycardia in 4 cases; premature beats 14 Thirteen cases were asymptomatic with arrhythmia; 38 cases were elevated CK-B (55.9%), CK was elevated in 7 cases (10.3%), and LDH was increased in 19 cases (27.9% ). The positive rates of troponin were 5.9%, 5 deaths (7.5%), 4 died of intracerebral hemorrhage complicated with respiratory failure and 1 case of cerebral infarction complicated with multiple organ failure. Conclusions The incidence of acute cerebrovascular disease and brain-heart syndrome is highest in cerebral hemorrhage. As soon as possible, myocardial enzymes and electrocardiogram should be routinely checked so that early treatment can be found early.