| 急性脑血管病患者并发脑心综合征对其预后的影响 |
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| 引用本文： | 和大波,郭增平. 急性脑血管病患者并发脑心综合征对其预后的影响[J]. 脑与神经疾病杂志, 2009, 17(1) |
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| 作者姓名： | 和大波 郭增平 |
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| 作者单位： | 053000,河北,衡水市第二医院急诊科;河北衡水学院生命科学学院 |
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| 摘 要： | 目的分析老年急性脑血管病患者并发脑心综合征对其预后的影响。方法对166例患者作血清心肌酶检测,以心肌酶高低进行分组(A、B组),对心肌酶、ECG及心功能进行动态观察,并对其结果及死因进行分析。结果心肌酶:A组均有不同程度升高,死亡34例中的有25例高于正常值的数倍乃至10倍;B组均不升高。ECG:A组ECG改变率70.2%,B组为29.3%。心功能:A组心功能改变率60.6%;B组为14.5%。死因:A组死亡34例(32.7%),其中原发病6例(17.6%),脑心综合症25例(73.5%),肺部感染3例(8.8%);B组死亡6例(11.3%),其中原发病4例(66.7%),肺部感染2例(33.3%)。两组结果相比具有统计学意义(P<0.01)。结论老年脑心综合症患者ECG、心功能及心肌酶的异常与脑功能损伤程度呈正相关,严重影响患者的预后。
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| 关 键 词： | 急性脑血管病 心肌酶 心电图 心功能 预后 |
The prognosis of aged patients of acute cerebrovascular disease with brain-heart syndrome |
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| HE Da-bo,GUO Zeng-ping. The prognosis of aged patients of acute cerebrovascular disease with brain-heart syndrome[J]. Journal of Brain and Nervous Diseases, 2009, 17(1) |
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| Authors: | HE Da-bo GUO Zeng-ping |
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| Affiliation: | HE Da-bo,GUO Zeng-ping. The second hospital of Hengshui,Hebei 05300,China |
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| Abstract: | Objective To analyze the prognosis of aged patients of acute cerebrovascular disease with brain-heart syndrome. Methods The enzyme of myocardium of 166 patients was detected,and then the data were grouped by the level of enzyme of myocardium(group A and group B). The enzyme of myocardium,ECG and the function of heart were observed dynamically,and the result and the cause of death were analyzed referring to other literatures. Results The enzyme of myocardium:There were increase in the group A to different de... |
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| Keywords: | acute cerebrovascular disease the enzyme of myocardium ECG the function of heart prognosis |
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