【摘要】 目的:探讨急性脑卒中患者心电图和血清心肌酶谱改变的临床意义。方法:分析96例存活的脑卒中患者,入院后12小时内心电图检查,对有异常者再行心肌酶谱检测,同时进行干预,并观察其动态变化。结果:96例急性脑卒中患者中73例心电图异常(76.04%),出血性卒中的心电图异常率与缺血性卒中比较,差异有显著性(P<0.01)。73例心电图异常的患者中,有心肌酶谱改变42例(57.53%),出血性卒中组心肌酶谱改变与缺血性卒中组比较,差异有极显著性(P<0.01);52例有意识障碍与21例无意识障碍患者心肌酶谱比较,差异有极显著性(P<0.01)。治疗后,部分患者的心电图、心肌酶谱有不同程度的恢复。结论:急性脑卒中患者应加强心电监护,有异常者及早进行干预,使可逆性的心肌损害得到恢复,对患者预后具有重要临床意义。更多还原

【Abstract】 Objective:To study the changes and clinical significance of serum myocardial zymogram and ECG in patients with acute cerebral apoplexy. Methods: 96 patients with acute cerebral apoplexy were analysed,the myocardial zymogram and ECG were detected 12 hours after admission and treatment. Results:The serum myocardial zymogram of intracerebral hemorrhage(ICH) group was higher than that of cerebral infarction(CI) group (P<0.01). The ECG disorder of intracerebral hemorrhage group was higher than that of cerebral infarction group(P<0.01), the serum myocardial zymogram of consciousness disorder group was higher than that of consciousness group(P<0.01). Conclusion: There are significant changes in the serum myocardial zymogram and ECG in patients with acute cerebral apoplexy,which are helpful to judge the patient’s condition and prognosis. It is important clinical significance to strengthen the electrocardiographic monitoring in patients with acute cerebral apoplexy and execute the intervention as soon as possible,consequently,the reversible myocardial lesions recover.更多还原