【摘要】 检测58例严重脑外伤的心电图、心肌酶谱，有81％（47／58）心电图异常和74％（43／58）心肌酶港变化同时存在。与疾病的预后关系密切。其中死亡15例心肌酶谱持续增高直至死亡，心电图表现为Q－T间期延长，室早、室速，ST—T改变。生存的43例，两者的变化随病情而演变，病情严重，心电图表现心肌损害，心律失常严重，心肌酶论持续升高，病情好转两者趋向正常。因此，严重脑外伤后心电图和心肌酶谱的变化可作为判断伤情、预后和治疗效果的一个重要指标。更多还原

【Abstract】 This essay preents 58 cases of severe head injury, whose electrocardiogram (ECG) and myocar-dial enzymogram (ME) were tested simultaneously showing 81 % (47/50) of abnormal ECG and 73% (43/58)of ME changes. In 15 cases of death, ME remained a constant elevation untill death occured, while their ECGdisplayed Q-T prolongation, VPB, ventricular tachycardia and ST-T changes. In 43 survived cases ECG andME changes occured in correspondanse with the patients’ conditions: when they were in critical conditon, theirECG showed myocardial impair, wevere arrhythmia together with constant elevation of ME, and when theircondition was improved ECG and ME tend to be normal- Therefore, ECG and ME are significant parameters forthe judgement of the patients’ conditon as well as prognosis and therapy for the patients’with head injury.更多还原