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急性脑血管病合并心律失常,ST 段、T 波、U波变化比较常见,合并心肌梗塞样心电图改变报导尚少。现报导3例如下:例1:男,51岁。因突然昏迷6小时,于1985年1月19日入院。体检:血压140/90mmHg,浅昏迷,大小便失禁,双眼向左同向凝视,右鼻唇沟变浅,右上,下肢肌力0级,巴氏征(+)、血 SGOT152u。心电图示:窦性心律,Ⅱ、Ⅲ、aVF 呈 QR 型(Q 波0.03～0.04秒,深0.03～0.06mV)。ST 段:Ⅱ、Ⅲ、aVF、V_(5～8)抬高0.05～0.15mV。T 波:Ⅱ、Ⅲ、aVF、V_(3～7)倒置。CT 所见:左额顶大面积伴右顶后局灶性脑梗塞。临床诊断:双侧脑梗塞合并急性下壁、正后壁心肌梗塞心电图改变。
Acute cerebrovascular disease with arrhythmia, ST segment, T wave, U wave changes more common, combined with myocardial infarction-like electrocardiogram changes reported less. 3 cases are reported as follows: Example 1: Male, 51 years old. Due to a sudden coma 6 hours, January 19, 1985 admission. Physical examination: blood pressure 140 / 90mmHg, light coma, incontinence, eyes to the left with the same gaze, right nasolabial fissure, right upper and lower limb muscle strength 0, Pakistan’s sign (+), blood SGOT152u. ECG shows: sinus rhythm, Ⅱ, Ⅲ, aVF was QR type (Q wave 0.03 ~ 0.04 seconds, 0.03 ~ 0.06 mV deep). ST segment: Ⅱ, Ⅲ, aVF, V_ (5 ~ 8) increased 0.05 ~ 0.15mV. T wave: Ⅱ, Ⅲ, aVF, V_ (3 ~ 7) inversion. CT seen: a large area of the left forehead with right top of the focal cerebral infarction. Clinical diagnosis: bilateral cerebral infarction with acute inferior wall, posterior wall myocardial infarction ECG changes.