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老年人急性脑卒中并发心肌梗死与假性心肌梗死的心电图分析(附200例报告)
引用本文:张琴,陈晓婕,贺小颖,陈友华.老年人急性脑卒中并发心肌梗死与假性心肌梗死的心电图分析(附200例报告)[J].实用临床医学(江西),2004,5(2):18-19.
作者姓名:张琴  陈晓婕  贺小颖  陈友华
作者单位:广西壮族自治区人民医院心电图室 广西南宁530021 (张琴,陈晓婕,贺小颖),广西壮族自治区人民医院心电图室 广西南宁530021(陈友华)
摘    要:目的 :对比老年人急性脑卒中 (ACA)并发心肌梗死与假性心肌梗死心电图改变。方法 :回顾性分析 2 0 0例老年人急性脑卒中轻、重型患者的临床资料。结果 :重型组 84例并发急性心肌梗死 (AMI) 2 4例 ,占 2 8.6 % ,轻型组116例并发AMI 4例 ,占 3.4 % ,两组比较有显著性差异 (P <0 .0 0 5 ) ;重型组与轻型组假性AMI的心电图 (ECG)检出率比较有显著性差异 (P <0 .0 0 5 )。结论 :急性脑卒中并发AMI与假性AMI心电图鉴别诊断有一定的临床价值。

关 键 词:急性脑卒中  老年人  心肌梗死  心电图
文章编号:1009-8194(2004)02-0018-02
修稿时间:2003年7月3日

Analysis of Electrocardiograph of Myocardial Infarction Complicated with the Elders Acute Cerebral Apoplexy and False Myocardial Infarction (Attached 200 Reports)
Zhang Qin,Chen Xiao jie,He Xiao ying,Chen You hua.Analysis of Electrocardiograph of Myocardial Infarction Complicated with the Elders Acute Cerebral Apoplexy and False Myocardial Infarction (Attached 200 Reports)[J].Practical Clinical Medicine,2004,5(2):18-19.
Authors:Zhang Qin  Chen Xiao jie  He Xiao ying  Chen You hua
Abstract:Objective: To compare the ECG changes of myocardial infarction that complicated with acute cerebral apoplexy(ACA)and false Myocardial Infarction.Methods:Two hundred patients with the elders acute cerebral apoplexy were divided into two groups:mild attack and serious attack groups.Results:There were 24(28.6%)patients with AMI in serious group of 84 patients,while in mild group(116 patients),there only 4(3.4%)got AMI( P <0.005).At the same time,the rates of false myocardial infarction were also different between the two groups ( P <0.005).Conclusion:It is useful to distinguish myocardial infarction complicated with acute cerebral apoplexy from false myocardial infarctio.
Keywords:acute cerebral apoplexy  elders  myocardial Infarction  electrocardiograph
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