实用心电学杂志2016，Vol.25Issue(3)：207-209,212,4.DOI:10.13308/j.issn.2095-9354.2016.03.012
心电图在急性脑梗死与脑出血临床检测与预后分析中的应用
Application of ECG in clinical detection and prognosis analysis on patients with acute cere-bral infarction and cerebral hemorrhage
张锡兰1
作者信息
- 1. 361004 福建 厦门，厦门大学附属中山医院心功能科
- 折叠
摘要
Abstract
Objective To investigate the application of electrocardiogram(ECG)in clinical de-tection and prognosis analysis on patients with acute cerebral infarction and cerebral hemorrhage. Methods Retrospective analysis was performed on clinical data of 1 05 cases with cerebrovascular diseases,acute cerebral infarction and cerebral hemorrhage,who had been admitted in our hospital. All the enrolled patients were diagnosed by magnetic resonance imaging(MRI)and cranial computer tomography(CT).Comparative analysis was made among the results of MRI,CT and ECG.Results Among the 1 05 cases,there were 69 with ECG abnormalities,and the rate was 65.7%.Specific-ally,ECG abnormalities were found in 36(63.2%)out of 57 cases with acute cerebral infarction and in 33(68.8%)out of 48 cases with cerebral hemorrhage.ECG abnormalities were mainly ar-rhythmia,QT interval prolongation,ST-T changes,obvious U wave,abnormal Q wave,T wave changes and so on.The rate of ECG abnormalities was related to diseased regions.The rate of pa-tients with thalamic lesions was significantly higher than that of patients with other diseased regions. Among 36 cases with normal ECG,2 (5.6%)died while among 69 cases with abnormal ECG, 9(1 3.0%)died.The difference was statistically significant(P <0.05).The rate of ECG abnormal-ities was 48.5%(33 /68)among 68 patients without disturbance of consciousness while the rate was 83.8%(31 /37)among 37 patients with disturbance of consciousness.The difference was also sta-tistically significant(P <0.05).Conclusion The rate of ECG abnormalities is relatively high in patients with acute cerebral infarction and cerebral hemorrhage,and the types of abnormalities are various.ECG changes can preliminarily serve as evaluation indicators of severity and prognosis.关键词
急性脑梗死/脑出血/心电图Key words
acute cerebral infarction/cerebral hemorrhage/electrocardiogram分类
医药卫生引用本文复制引用
张锡兰..心电图在急性脑梗死与脑出血临床检测与预后分析中的应用[J].实用心电学杂志,2016,25(3):207-209,212,4.
