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目的探讨脑出血急性期心电图异常的表现及特征。方法全部患者在72h内做颅脑CT定性、定位检查,同时描记同步12导联心电图。结果本组138例急性脑血管病患者中心电图异常123例,异常率占89.1%。其中脑出血67例,异常率占91.8%,脑血栓56例,异常率占86.2%。异常心电图表现包括心肌缺血及低钾改变,表现Q-T间期延长,U波明显,T波双相倒置或低平,S-T段下移;心律失常包括窦性心动过缓、房性早搏、心房颤动、室性早搏及束支传导阻滞。结论对ACVD者严密观察心电图变化情况十分重要,对危重者应给予心电监护,以观察病情变化,及时治疗,对改善患者的预后有重要的临床意义。
Objective To investigate the manifestation and characteristics of abnormal electrocardiogram in patients with acute cerebral hemorrhage. Methods All patients underwent craniocerebral CT within 72h qualitative, location examination, while tracing synchronized 12-lead ECG. Results The group of 138 patients with acute cerebrovascular disease in 123 cases of abnormal ECG, abnormal rate accounted for 89.1%. Including 67 cases of intracerebral hemorrhage, abnormal rate of 91.8%, 56 cases of cerebral thrombosis, abnormal rate of 86.2%. Abnormal electrocardiographic manifestations include changes in myocardial ischemia and hypokalemia, the performance of QT prolongation, U wave was obvious, T wave bipolar inversion or low level, ST segment down; arrhythmia, including sinus bradycardia, atrial premature beats, atrial Fibrillation, premature ventricular contractions and bundle branch block. Conclusions It is very important to observe the changes of electrocardiogram closely in ACVD patients. ECG monitoring should be given to critically ill patients in order to observe the changes of the disease and timely treatment, which has important clinical significance in improving the prognosis of patients.