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急性脑卒中患者发生脑心综合征的相关分析及其预后研究

李陈 刘敏 王振宇 王弘略 杨昌贵 刘坤明

重庆医学Issue(14):1732-1733,1736,3.
重庆医学Issue(14):1732-1733,1736,3.DOI:10.3969/j.issn.1671-8348.2014.14.018

急性脑卒中患者发生脑心综合征的相关分析及其预后研究

Correlation analysis of occurrence and its prognosis of cerebrocardiac syndrome in critically neurosurgery patients

李陈 1刘敏 1王振宇 1王弘略 1杨昌贵 1刘坤明1

作者信息

  • 1. 贵州省铜仁市人民医院神经外科,贵州铜仁554300
  • 折叠

摘要

Abstract

Objective To investigate the correlation between the cerebrocardiac syndrome (CCS) of severe type and prediction of prognosis of patients with neurosurgery .Methods Myocardial zymogram levels were measured in course of development of 120 ca‐ses of Acute Stroke(AS) that were confirmed diagnosis by brain computerized tomography (CT) .ultrasoundcardiogram(UCG)and electrocardiogram(ECG)were used to dectect Segmental Wall Motio Abnormalities (SWMA) .Results For 120 patients with AS , the specimens include 38 cases(76 .0% )of T‐wave change and 12 cases(24 .0% )of ST‐segment depression in 50 cases of ST‐T seg‐ment change ,7 cases of arrhythmia and adnormal cardiac electrical conduction .24 cases of SWM A ,32 cases(26 .7% ) of raised CK‐MB ,35 patients could be recovered to normal of ECG after active treatment .17cases of ECG improve markedly ,18 cases of ECG un‐improved ,15 cases of myocardial enzymes normally ,8 cases of myocardial enzymes improve markedly20 cases of death .Conclusion Hypertension is a risk factor of CCS ,correlation between ST‐T segment and SWMA as well as myocardial enzymes and myocardial damagein CCS was statistically analyed .

关键词

脑心综合征/心肌酶谱/心肌疾病/心肌描记术/卒中

Key words

cerebrocardiac syndrome/Myocardial zymogram/cardiomyopathies/electrocardiography/stroke

引用本文复制引用

李陈,刘敏,王振宇,王弘略,杨昌贵,刘坤明..急性脑卒中患者发生脑心综合征的相关分析及其预后研究[J].重庆医学,2014,(14):1732-1733,1736,3.

重庆医学

OA北大核心CSTPCD

1671-8348

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