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很久以来,人们就认识到50%~70%的颅内出血(ICH)患者出现心电图(ECG)异常,包括T波倒置、S-T段压低、Q-T间期延长、明显的U波。这些异常改变多发生于病初2周,持续至第6周恢复,并被认为是一种无关紧要的短暂性改变。但血浆CK升高以及尸检所见等异常提示,脑损伤后,尤其蛛网膜下腔出血(SAH)可继发明显的心肌组织学改变。作者应用狗
It has long been recognized that electrocardiogram (ECG) abnormalities occur in 50% to 70% of patients with intracranial hemorrhage (ICH), including T wave inversion, S-T depression, prolongation of the Q-T interval, and significant U waves. These abnormal changes occurred mostly in the first 2 weeks of disease and continued until the 6th week of recovery, and is considered to be an insignificant transient change. However, elevated plasma CK and autopsy findings suggest that significant changes in myocardial histology may be secondary to brain injury, especially to subarachnoid hemorrhage (SAH). The author applies the dog