急性脑血管病对心肌的损害

目的分析急性脑血管病对心肌的影响。方法回顾性分析210例急性脑血管病患者心肌酶和心电图(EKG)的变化特点。结果210例急性脑血管患者均有心肌酶升高及EKG的缺血性变化。脑出血组(A组)与脑梗死组(B组)患者所测心肌酶与正常值比较差异有显著性(P<0.05);A、B组之间心肌酶改变无显著性差异(P>0.05)。有意识障碍的病人EKG缺血性变化与心肌酶的增高与无意识障碍的病人比较其变化程度亦有显著性差异(P<0.05)。酶值升高与EKG变化的程度与病变部位有关,与年龄无关。结论急性脑血管病可以引起心脏的损害,病情越重,心肌酶升高幅度和EKG缺血性变化越大。

Injuries of cardiac muscle by acute cerebrovascular diseases

Objective To analyze the injuries of cardiac muscle i nduced by acute cerebrovascular diseases (ACD). Methods The characteristic s of cardiac enzymes and EKG of 210 ACD cases were studied retrospectively. The 210 patients were divided into 2 groups: intracerebral hemorrhage group (n=100) and cerebral infarction group (n=110). Results The cardiac enzymes and EKG i n all cases increased. In terms of the cardiac enzymes there was no difference b etween the 2 groups (P>0.05), but significant difference compared with the norma l (P<0.05). The cardiac enzymes and EKG in the patients with consciousness distu rbance were significantly increased compared with those in the patients without conscious disturbance. The raise of EKG and cardiac enzymes was related to disea sed region but not to age. Conclusion ACD may induce the damage of cardiac m uscle. The severity is positively associated with the increase of cardiac enzyme s and EKG.