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脑梗死患者急性期的心电图变化
引用本文:柴枝楠,张国强,狄国裕,刘淑萍. 脑梗死患者急性期的心电图变化[J]. 中华急诊医学杂志, 1995, 0(1)
作者姓名:柴枝楠  张国强  狄国裕  刘淑萍
作者单位:中日友好医院急诊科!北京100029(柴枝楠,张国强,狄国裕),北京设备安装总公司门诊部!北京100088(刘淑萍)
摘    要:回顾性分析我院10年间急诊收治的脑梗死患者882例的心电图变化。有心电图变化的700例中ST-T段改变占44.6%,心律失常占38.4%,两者发生率比较有显著性差异(P<0.001)。40岁以上脑梗死患者合并心电图异常者占97.8%,不同年龄组问异常心电图发生率有显著性差异(P<0.001).基底节脑梗死以ST-T段改变多见,占此部位异常心电图的48.1%,下丘脑、颞叶、顶叶、枕叶部位梗死以心律失常多见,占此部位异常心电图的46.8%。缺血性心脑疾病发病基础相似,常伴随发生。

关 键 词:脑梗死  基底节  下丘脑  心电图  缺血性脑血管病  缺血性心脏病  心律失常

EKG Changes in Cases of Acute Cerebral Infarction
Chai Zhinen, Liu ShuPing,Zhang Guoqqiaug,el al.. EKG Changes in Cases of Acute Cerebral Infarction[J]. Chinese Journal of Emergency Medicine, 1995, 0(1)
Authors:Chai Zhinen   Liu ShuPing  Zhang Guoqqiaug  el al.
Abstract:EKG changes in 882 cases of cerebral infarction during the past 10 yearswere analysed retrospectively. Among 700 cases with abnormal EKG findings, slight ST-T changes were found in 44. 6%, and 38. 4% complicating with arrhythmias (P<0. 001).In patients over 40 years, 97. 8% of cerebral infarction were complicated with abnormal EKG findings. The differences in abnormal EKG in different age groups were significant (P<0. 001 ). Changes in ST-T segment were frequently seen in the infarction of basal ganglion (48. 1 % ). Whereas cardiac arrhythmias were frequently seen in infarction of hypothalamus,temporal lobes, the vertex and occipital lobes (46. 8% ).
Keywords:cerebral infarction EKG ischemic cerebral vascular disease ischemic heart disease basal ganglion hypothalamus arrhythmia  
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