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目的:探讨脑出血发生后对心电图的影响及其临床意义。方法:256例脑出血患者均在6 h内做心电图检查,对心电图异常的病例进行分析及探讨其临床意义。结果:256例中心电图异常者中异常率76.56%,以ST-T波改变为主。基底节组、大量出血组、血肿破入脑室组、血肿扩大组和老年组心电图异常率均较高,有统计学意义(P<0.05);心电图异常组与心电图正常组比较,两组预后差异有统计学意义(P<0.05)。结论:脑出血可引起心电图异常改变,且与出血部位、血肿是否破入脑室、出血量、年龄、血肿扩大、预后有密切相关,提示心电图改变对于判断脑出血的严重程度及估计预后均有一定的临床参考价值。
Objective: To investigate the influence of electrocardiogram after cerebral hemorrhage and its clinical significance. Methods: All 256 patients with intracerebral hemorrhage underwent electrocardiogram examination within 6 h. The abnormal electrocardiogram was analyzed and the clinical significance was discussed. Results: The anomalous rate was 76.56% in 256 cases with abnormal electrocardiogram and was mainly changed by ST-T wave. Basal ganglia group, a large number of hemorrhage group, hematoma ruptured ventricular group, hematoma enlargement group and the elderly group were higher ECG abnormalities, with statistical significance (P <0.05); ECG abnormalities group compared with normal ECG group, the prognosis difference between the two groups There was statistical significance (P <0.05). Conclusion: Intracerebral hemorrhage can cause abnormal ECG changes, and with the bleeding site, hematoma is broken into the ventricle, bleeding volume, age, hematoma enlargement, prognosis are closely related, suggesting that changes in ECG for judging the severity of cerebral hemorrhage and prognosis are certain The clinical reference value.