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目的:总结急性脑卒中并脑心综合征的心电图变化、发病机制,以提高其临床治疗水平。方法:回顾性分析2008年1月~2011年12月收治的急性脑卒中并脑心综合征48例的临床资料。结果:出血性脑卒中并脑心综合征的发生率明显高于缺血性脑卒中,急性脑卒中并脑心综合征的心电图改变以复极异常及心律失常多见;48例中治愈14例,好转22例,死亡8例,自动出院4例。结论:急性脑卒中并脑心综合征与卒中类型有关,同时进行脑卒中和心血管病方面的治疗有助于改善预后。
OBJECTIVE: To summarize the changes of electrocardiogram and the pathogenesis of acute cerebral apoplexy and brain-heart syndrome in order to improve their clinical treatment. Methods: The clinical data of 48 patients with acute stroke and brain-heart syndrome admitted from January 2008 to December 2011 were retrospectively analyzed. Results: The incidence of hemorrhagic stroke and brain-heart syndrome was significantly higher than that of ischemic stroke. The changes of electrocardiogram in acute stroke and brain-heart syndrome were more common in patients with repolarization and arrhythmia. Forty-eight cases were cured , Improvement in 22 cases, 8 cases of death, 4 cases were discharged automatically. CONCLUSIONS: Acute stroke and brain-heart syndrome are associated with stroke type, and treatment of both stroke and cardiovascular disease contributes to improved prognosis.