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目的探讨急性脑卒中并发脑心综合征的临床特点。方法回顾分析275例患者的临床资料。结论脑心综合征对急性脑卒中预后影响大,早期应密切观察心脏情况,必要时行动态心电图监测或及时复查心电图,检测心肌酶,同时注意支持治疗,以免电解质紊乱诱发心律失常,在治疗过程中,一定要注意心脑兼治,避免或慎用加重心脏负担的药物,一旦发现心脏损伤,及时调整治疗方案,以缓解或消除脑心综合征的发展,提高急性脑卒中的抢救存活率,改善预后。
Objective To investigate the clinical features of acute cerebral apoplexy complicated with brain-heart syndrome. Methods The clinical data of 275 patients were retrospectively analyzed. Conclusions The brain-heart syndrome has a great impact on the prognosis of acute stroke. The heart condition should be closely observed in the early stage. If necessary, ambulatory ECG monitoring or ECG examination should be performed to detect the myocardial enzymes. At the same time, attention should be paid to supportive treatment so as to prevent the electrolyte disturbance from inducing arrhythmia. , We must pay attention to both the heart and mind to avoid or caution increase the burden on the heart of the drug, once found heart damage, timely adjustment of treatment options to alleviate or eliminate the development of brain syndrome, improve the survival rate of acute stroke rescue and improve Prognosis.