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急性脑出血部位、出血量与心电图异常关系分析

Evaluation of the relationship between abnormal electrocardiogram and acute cerebral hemorrhage lesion and bleeding

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【作者】 周芯羽张利娟何新华臧涯虹

【Author】 ZHOU Xin-yu ZHANG Li-juan HE Xin-hua ZANG Ya-hong

【机构】 江苏省连云港市第一人民医院

【摘要】 目的探讨急性脑出血部位、出血量与心电图异常之间的关系。方法对141例经头颅CT、MRI检查确诊的各类急性脑出血者,入院行常规12导联心电图检查,异常者不定时多次复查。结果 141例脑出血者中出现心电图异常103例,深部脑出血和出血量较大者心电图异常与浅部脑出血及出血量较小者相比较有显著差异。心电图异常主要以ST-T改变最常见,其次是Q-T间期延长、心律失常等。结论急性脑出血者心电图异常发生率高,与病变部位、出血量密切相关。

【Abstract】 Objective To evaluate the relationship between abnormal electrocardiogram and acute cerebral hemorrhage lesion and bleeding.Methods Check routine 12-lead ECG for 141 cases of cranial CT,MRI on patients diagnosed as various types of cerebral hemorrhage.Results Of the 141 cases of cerebral hemorrhage,103 patients had abnormal ECG,ECG were significantly different between patients with deep and large cerebral hemorrhage and shallow,small amount of cerebral hemorrhage.The most common abnormal electrocardiogram was ST-T changes,secondly,the QT interval prolongation,and arrhythmia.Conclusion Patients with acute cerebral hemorrhage have high incidence of ECG abnormalities,which relate to its lesion site and bleeding.

  • 【文献出处】 实用心电学杂志 ,Journal of Practical Electrocardiology JS , 编辑部邮箱 ,2010年05期
  • 【分类号】R743.3
  • 【下载频次】56
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