【摘要】 目的探讨急性脑卒中脑心综合征的临床特点和发病机制。方法回顾性分析118例患者的ECG及心肌酶学的变化、卒中的类型及病变部位与CCS的关系。结果急性脑卒中时CCS的发生率为45.7%;脑出血蛛网膜下腔出血CSS的发生率最高48.9%,其次蛛网膜下腔出血为44.9%,脑梗死CCS的发生率为28.7%,脑出血、蛛网膜下腔出血时CCS的发生率与脑梗死时CCS的发生率比较,P<0.05,差异有显著性意义;即疾病发生的部位越近大脑中线,CCS的发生率越高。结论脑心综合征的发生与急性脑卒中的类型、发病的部位密切相关;早诊治可降低死亡率,改善患者预后。更多还原

【Abstract】 Objective To investigate the clinical characteristics and possible pathogenesis of acute stroke brain heart syndrome.Methods A retrospective analysis of 118 cases of patients with ECG changes and serum creatine kinase,stroke type and lesion CCS.Results CCS acute stroke incidence rate of 45.7%;and the type of acute stroke,cerebral hemorrhage subarachnoid hemorrhage CSS incidence of up to 48.9%,followed by subarachnoid hemorrhage was 44.9%,the CCS was 28.7% cerebral infarction,cerebral hemorrhage,subarachnoid hemorrhage,the incidence of cerebral infarction CCS CCS incidence(P<0.05) difference was significant;the site of disease more near the brain midline,the higher the incidence of CCS.Conclusion The occurrence of brain heart syndrome,and type of acute stroke,the incidence of the site;early diagnosis and treatment of disease can reduce the mortality rate of stroke,improved patient outcomes.更多还原