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目的:探讨急性脑卒中致心脏骤停原因,以加强心脏骤停后治疗。方法:回顾性分析我科近三年来收治的36例急性脑卒中导致心脏骤停患者的病历资料,探讨急性脑卒中导致心脏骤停病因。结果:36例患者中29例考虑出现继发心肌损伤或心律失常而引起心脏骤停;5例因脑干生命中枢受损引起心脏骤停;2例呕吐物阻塞呼吸道,出现窒息而引起心脏骤停。结论:急性脑卒中致心脏骤停原因考虑:继发心肌损伤或心律失常、脑干生命中枢受损、窒息,以继发心肌损伤或心律失常最常见。
Objective: To investigate the causes of cardiac arrest caused by acute stroke in order to strengthen the treatment after cardiac arrest. Methods: A retrospective analysis of 36 patients with acute stroke who underwent cardiac arrest in our department in the recent three years was conducted to investigate the cause of cardiac arrest caused by acute stroke. RESULTS: Twenty-nine of the 36 patients were considered for cardiac arrest due to secondary myocardial injury or arrhythmia, 5 were cardiac arrest due to impaired brain stem life, 2 vomit obstructing the respiratory tract, and apnea causing cardiac arrest stop. Conclusion: The causes of cardiac arrest caused by acute stroke consider: secondary myocardial injury or arrhythmia, brain stem damage, asphyxia, to secondary myocardial injury or arrhythmia is the most common.