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急性脑血管病引起的心电图(ECG)异常颇为常见,现对185例急性脑血管病患者中143例ECG异常者分析如下。临床资料与结果出血组71例(49.65%)男42例,女29例。缺血组72例(50.34%),男51例,女21例,ECG异常与性别无关(P>0.5)。出血组>60岁50例,45～60岁20例,<45岁4例;缺血组>60岁39例,45～60岁24例,<45岁6例。出血组EGC异常与年龄有关(P<0.05),而缺血组则无关(P>0.1)。 ECG异常的类型:(1)缺血性改变:包括ST段下降、抬高,T波低平、倒置、双相,u波,Tu融合及QT间期延长。(2)心律失常:房颤,房早,室早,窦速,窦缓,房室传导阻滞,束支阻滞。
Electrocardiogram (ECG) abnormalities caused by acute cerebrovascular disease are quite common. An analysis of 143 cases of abnormal ECG in 185 patients with acute cerebrovascular disease is as follows. Clinical data and results Bleeding group 71 cases (49.65%) 42 males and 29 females. There were 72 cases (50.34%) in ischemic group, including 51 males and 21 females. There was no relationship between ECG abnormalities and sex (P> 0.5). Bleeding group> 60 cases in 50 cases, 45-60 years in 20 cases, <45 years in 4 cases; ischemic group> 60 years in 39 cases, 45 to 60 years old in 24 cases, <45 years old in 6 cases. The abnormal EGC in bleeding group was related to age (P <0.05), but not to ischemic group (P> 0.1). Types of ECG abnormalities: (1) ischemic changes: including ST-segment depression, elevation, T-wave depression, inversion, biphasic, u wave, Tu fusion and QT prolongation. (2) arrhythmia: atrial fibrillation, as early as room, room early, sinus speed, slow sinus, atrioventricular block, bundle branch block.