急性脑血管病并发心脏损伤的临床分析

目的分析急性脑血管病并发心脏损伤时心电图、心肌酶的变化。方法130例急性脑血管病患者入院24小时内行心电图检查,检测血清心肌酶的含量。结果130例急性脑血管病患者中发生心电图异常79例(60.8%),其中以蛛网膜下腔出血组的发生率最高,脑出血组次之;血清心肌酶升高86例(66.2%),脑梗死组与出血组之间血清心肌酶升高水平差异无显著意义(P>0.05)。有意识障碍组与无意识障碍组患者比较心电图异常变化及血清心肌酶水平差异均有显著意义(P<0.05或P<0.01);死亡组患者心电图异常发生率明显升高,血清心肌酶水平增高显著,与存活组比较差异有显著意义(P<0.05或P<0.01)。结论急性脑血管病患者并发心脏损伤,主要表现为心电图异常、血清心肌酶升高。其异常程度与意识障碍、病情严重程度呈正相关。因此监测心电图变化及血清心肌酶水平有助于病情轻重与预后的判断。

The clinical analysis of acute cerebrovascular disease complicated with heart injury

Objective To observe the changes of the electrocardiogram and cardiac creatase in blood serum when suffered from acute cerebrovascular disease complicated with heart injury.Methods The electrocardiograms of 130 patients with acute cerebrovascular disease were examined and the content of cardiac creatase in blood serum of them was detected within 24 hours after hospitalization.Results Among the 130 patients with acute cerebrovaschular disease there are 79 cases (60.8%) who appeared electrocardiographic abnormality in which the incidence of the subarachnoid hemorrhage group was the highest and the cerebral hemorrhage group was secondary,and there were 86 cases (66.2%) whose cardiac creatase in serum heightened in which there were no obvious differences between the subarachnoid hemorrhage group and the cerebral hemorrhage group (P>0.05). There were significant differences in the abnormal variation of the electrocardiograms and the levels of the cardiac creatase in serum between the conscious disturbance group and the non-conscious disturbance group (P<0.05 or P<0.01).The incidence of the electrocardiographic abnormality and the levels of the cardiac creatase in blood serum of the death group were heightened obviously,there were significant differences in the abnormality of the electrocardiograms and the levels of the cardiac creatase in blood serum between the death group and the survival group (P<0.05 or P<0.01).Conclusion The patients with acute cerebrovascular disease are often complicated with heart injury whose manifestations are electrocardiographic abnormality and the increasing of the cardiac creatase in serum. The extent of abnormality is positively correlated with the conscious disturbance and the patients' condition. As a result, it is helpful to examine the electrocardiogram and the cardiac creatase in serum to judge prognosis of the patients.