| 出血程度对动脉瘤性SAH继发心脏损害的影响研究 |
| |
| 引用本文： | 钱忠心,刘卫东,毛青,孙伟,彭毅华,张宇一,刘向阳,丁勇.出血程度对动脉瘤性SAH继发心脏损害的影响研究[J].中国现代医学杂志,2008,18(17):2520-2524. |
| |
| 作者姓名： | 钱忠心 刘卫东 毛青 孙伟 彭毅华 张宇一 刘向阳 丁勇 |
| |
| 作者单位： | 上海市浦南医院神经外科,上海,200125 |
| |
| 摘 要： | 目的 探讨出血程度与动脉瘤性SAH继发心脏损害的发生之间的关系.方法 将80例动脉瘤性SAH患者,根据Fisher CT分级情况,随机分成轻度(Fisher1、2级)和重度(Fisher3、4级)出血两组,进行发病早期(1周内)动态的心电图及心肌酶与心肌结构蛋白监测,分别观察心脏损害发生的情况.结果 38例轻度出血组患者中,早期心电图异常24例(ST-T改变者10例),心肌酶与结构蛋白异常13例;42例重度出血组患者中,早期心电图异常37例(ST-T改变者26例),心肌酶与结构蛋白异常24例.两组间心电图与心肌酶及结构蛋白异常发生率不同,差异有显著性(P＜0.05).结论 出血程度与动脉瘤性SAH继发心脏损害的发生明显相关,Fisher分级高者(3、4级)发生继发心脏损害的危险性明显高于分级低者(1,2级),且继发心脏损害的发生与患者的临床预后相关.
|
| 关 键 词： | 动脉癌性SAH 心电图 必肌酶 心肌结构蛋白 Fisher分级 |
Research on relationship between severity of SAH and secondary heart damage in aneurysmal SAH patients |
| |
| QIAN Zhong-xin
,
LIU Wei-dong
,
MAO Qing
,
SUN Wei
,
PENG Yi-hua
,
ZHANG Yu-yi
,
LIU Xiang-yang
,
DING Yong.Research on relationship between severity of SAH and secondary heart damage in aneurysmal SAH patients[J].China Journal of Modern Medicine,2008,18(17):2520-2524. |
| |
| Authors: | QIAN Zhong-xin LIU Wei-dong MAO Qing SUN Wei PENG Yi-hua ZHANG Yu-yi LIU Xiang-yang DING Yong |
| |
| Institution: | QIAN Zhong-xin,LIU Wei-dong,MAO Qing,SUN Wei,PENG Yi-hua,ZHANG Yu-yi,LIU Xiang-yang,DING Yong(Department of Neurosurgery,Punan Hospital of Shanghai,Shanghai 200125,P.R.China) |
| |
| Abstract: | Objective] To investigate the relationship between severity of subarachnoid hemorrhage(SAH) and secondary heart damage in aneurismal SAH patients. Method] 80 aneurysmal SAH patients were divided into two groups according to their Fisher Grade:minor SAH group (Fisher Grade 1~2) and severe SAH group(Fisher Grade 3-4).Early ECG changes and myocardial enzyme and structural protein abnormality were monitored and recorded to evaluate severity of heart damage. Result] In 38 cases with minor SAH, 24 showed early... |
| |
| Keywords: | aneurysmal SAH ECG myocardial enzyme myocardial structural protein fisher grade |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
