| 急性脑卒中436例心电图与心肌酶谱变化的临床意义 |
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| 引用本文： | 黄文胜.急性脑卒中436例心电图与心肌酶谱变化的临床意义[J].内科,2009,4(2):210-211. |
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| 作者姓名： | 黄文胜 |
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| 作者单位： | 广西博白县人民医院神经内科,537600 |
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| 摘 要： | 目的探讨急性脑卒中心电图与心肌酶谱变化的临床意义。方法对436例首次急性脑卒中患者（出血性脑卒中230例，缺血性脑卒中206例）进行心电图与心肌酶谱的检测，并与162例健康体检者做对照分析。结果（1）血性脑卒中组心电图异常发生率明显高于缺血性脑卒中组（P〈0．001），发生在基底节、丘脑部位病变者的心电图异常发生率明显高于脑叶和小脑部位病变者（P均〈0．05）；（2）急性脑卒中组心肌酶谱水平明显高于对照组（P均〈0．001），出血性脑卒中组心肌酶谱水平明显高于缺血性脑卒中组（P均〈0．001）。发生在蛛网膜下腔部位病变者心肌酶谱水平明显高于基底节丘脑、脑干、脑叶和小脑部位病变者（P均〈0．05）。结论对急性脑卒中患者要加强心电监护和心肌酶谱水平的检测，有异常者及早进行干预，对患者预后具有重要临床意义。
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| 关 键 词： | 脑出血 脑梗死 心电图 心肌酶谱 |
Clinical significance of electrocardiogram and serum myocardial enzymogram in acute stroke patients |
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| HUANG Wen-sheng.Clinical significance of electrocardiogram and serum myocardial enzymogram in acute stroke patients[J].Internal Medicine of China,2009,4(2):210-211. |
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| Authors: | HUANG Wen-sheng |
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| Institution: | People's Hospital of Bobai;Bobai 537600;China |
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| Abstract: | Objective To study the changes and clinical significance of serum myocardial enzymogram and electrocardiogram(ECG) in patients with acute stroke.Methods The myocardial enzymogram and electrocardiogram of 436 patients with acute cerebral apoplexy and 162 normal control subjects were detected and analyzed.Results The ECG disorder of intracerebral hemorrhage group was higher than that of cerebral infarction group(P<0.001).The serum myocardial enzymogram of intracerebral hemorrhage group was higher than those o... |
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| Keywords: | Intracerebral hemorrhage Cerebral infarction Electrocardiogram Myocardial enzymogram |
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