急性脑血管疾病合并脑心综合征105例临床分析

目的探讨急性脑血管病并发脑心综合征患者的临床特征。方法对我院2009—2010年256例急性脑血管病患者中的105例并发脑心综合征患者进行回顾性分析。结果脑心综合征患者普遍存有心电图改变和心肌酶谱的异常,脑梗死组在心电图改变异常率和心肌酶谱改变率上均显著低于脑出血和蛛网膜下腔出血组(P<0.05),脑出血与蛛网膜下腔出血组比较,心电图与心肌酶谱改变均无显著性差异(P>0.05);GCS评分低的急性脑血管病患者,合其脑心综合征发生的概率高(P<0.05);病变部位位于脑室、脑干和小脑的急性脑血管病患者,其脑心综合征发生率明显高于脑叶及基底节(P<0.01)。结论脑心综合征发生在急性脑血管病变患者并不少见,临床上应提高对该疾病的警惕性,做到早诊断、早治疗。

Clinical Analysis of the 105 Patients Who Were Acute Cerebral Vascular with Cerebrocardiac Syndrome

OJECTIVE To study the clinical characteristics of patients who suffered from acute cerebral vascular diseases complicated by cerebrocardiac syndrom. METHODS In this article, 105 of 256 cases of acute cerebral vascular diseases who were in hospital in our hospital from 2009 to 2010 complicated by cerebrocardiac syndrom were reviewed retrospectively. RESULTS Patients withcerebrocardiac syndrom in general exist abnormal electrocardiogram and myocardial zymogram, and change rates of electrocardiogram and cerebral in cerebral infarction group were significantly lower than thoes incerebral hemorrhage group（P〈0.05）.Compared with subarachnoid hemorrhage group, change rates in cerebral hemorrhage group shew no difference （P〉0.05）. Patients of acute cerebral vascular diseases whose GCS were lower were more susceptible to cerebrocardiac syndrom（P〈0.05）. Cases of cerebrocardiac syndrom with acute cerebral vascular disease were happened in the ventricles of the brain, cerebral ventricles, cerebellum were significantly higher than the cerebral lobes and basal ganglia. CONUSCLION The Cerebrocardiac syndrom is common in acute cerebral vascular disease.We should raise our vigilance to this syndrom, so as to early diagnosis and early treatment.