急性脑血管病后脑心综合征166例临床回顾分析

目的探讨脑血管病后脑心综合征（CCS）的临床特点、发病机制及其与预后的关系。方法对166例急性脑血管病合并CCS患者的临床资料进行回顾性分析。结果CCS发病率为38．2％，出血性脑卒中发生CCS明显高于缺血性脑卒中（P〈0．05）；脑干、小脑及基底节丘脑病灶合并CCS明显高于脑叶病灶（P〈0．OS）；CCS心电图主要表现为心肌缺血，心律失常。结论CCS发生与脑卒中类型及部位等因素有关，其发病机制可能为脑卒中直接或间接导致植物神经功能失调、神经体液功能紊乱有关。

Cerebral-cardiac syndrome caused by acute cerebral vascular disease

Objective To discuss the clinical character,mechanism and prognosis of eletrocardiogram(EKG) change of cerebral-cardiac syndrome(CCS) during acute cerebral vascular disease(ACVD).Methods Analysed respectively 166 patients with CCS caused by ACVD.Results The indence of CCS following stroke was 38.2%,the CCS of intracerebral hemorrhage group were higher than that of cerebral infarction group(P<0.05),the changes on EKG in the areas of brain stem,cerebellar,basal ganglion and thalamus were much more than those in lobes of brain(P<0.05).Main changes of EKG presented in myocardial ischemia and arrhythmia.Conclusions CCS is associated with type and pathologic site of acute stroke.The mechanism of EKG changes may be related to the vegetative nerve funtional disturbance and neurohumorally functional disturbance directly or indirectly resulted from stroke.