心电异常对急性脑出血患者预后的影响

目的 探讨心电异常对急性脑出血患者预后的影响.方法 按照纳入标准收集泸州医学院附属医院神经内科2007年6月～2011年6月入院的急性脑出血患者218例,入院后2d内常规进行12导联心电图检查,分析其心电图变化特点及与预后的关系.结果 急性脑出血患者心电异常发生率为76.6％,死亡率高达47.3％,明显高于无心电异常的脑出血患者11.8％,ST段弓背向上抬高(50.6％)、长Q-T间期(29.1％)、房性期前收缩(27.8％)为死亡患者中多见的心电异常类型.结论 急性脑出血并发心电异常发生率高,近期死亡率高,心电异常是影响脑出血患者预后的重要因素之一.

The impact of abnormal electrocardiogram on the prognosis of acute cerebral haemorrhage

OBJECTIVE To study the impact of abnormal electrocardiogram on the prognosis of acute cerebral haemorrhage patients.METHODS 218 patients with acute cerebral haemorrhage who were selected according to the standard of selection during June 2007 and June 2011 were analyzed.A 12-lead ECG was recorded in all patients at admission within 2 days after they enrolled into my hospital.Then investigated the association between abnormal electrocardiogram and the prognosis of acute cerebral haemorrhage.RESULTS The incidence of abnormal electrocardiogram in acute cerebral haemorrhage patients was 76.6%.Mortality rate of acute cerebral haemorrhage patients with abnormal electrocardiogram was 47.3% which was significantly higher than in those without abnormal electrocardiogram at 11.8%.ST elevation(50.6%),QT interval prolongation(29.1%) and premature atrial contraction(27.8%) were the main categories in dead patients.CONCLUSION The acute cerebral hemorrhage patients with abnormal electrocardiogram have high incidence and mortality rate.Abnormal electrocardiogram could be a predictive factor for the prognosis after acute cerebral haemorrhage.