脑出血急性期合并脑心综合征57例临床分析

目的探讨急性期脑出血合并脑心综合征的发病机制,临床特点和治疗方法。方法对57例急性期脑出血患者心电图进行回顾性分析。结果急性期脑出血患者合并脑心综合征死亡率47.4%,明显高于无脑心综合征患者10%。近中线部位脑出血心脏损害多见,脑干及丘脑发生率为78.3%。结论掌握脑心综合症的发病机制,临床特点便于指导临床治疗,提高病人存活率。

Analysis of 57 cases with acute cerebral hemorrhage with cerebro-cardiac syndrome

Objective To investigate the nosogensis,clinical features and therapy of acute cerebral hemorrhage with cerebro-cardiac syndrome.Methods 57 cases of acute cerebral hemorrhage with cerebro-cardiac syndrome were retrospectively studied.Result The mortality rate in the cases of acute cerebral hemorrhage with cerebro-cardiac syndrome was 47.4%,significantly higher than that cases without acute cerebral hemorrhage with cerebro-cardiac syndrome（10%）.The cases with the cerebral hemorrhage near the midline damaged on the heart and brain was common,brain stem and thalamus incidence of 78.9%Conclusion Handling the pathogenesis and clinical features of cerebro-cardiac syndrome is able to guide clinical treatment easily,specifically improve the survival rate of patients significantly.