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目的观察急性脑出血患者的心电图变化以及与病变部位的关系。方法对145例急性脑出血病例分别在入院24h内做心电图2～3次进行动态观察。结果 145例急性脑出血患者中,121例出现心电图异常变化,其中以ST-T改变最为常见。出血量小组(<30ml)的心电图异常栓出率低,而出血多组(>60ml)的栓出率高。结论患者在脑出血急性期可出现心电图改变,脑出血量大者心电图异常提示预后不良。
Objective To observe the changes of electrocardiogram (ECG) in patients with acute cerebral hemorrhage and the relationship with the lesion site. Methods 145 cases of acute cerebral hemorrhage were admitted to hospital within 24 hours of electrocardiogram 2 to 3 times to observe the dynamic. Results Of 145 patients with acute cerebral hemorrhage, 121 patients had abnormal electrocardiogram changes, of which ST-T changes were the most common. Electrocardiographic abnormalities in the bleed volume group (<30 ml) have a low rate of embolic abnormalities, while bleeding rates in many groups (> 60 ml) are high. Conclusions Patients may have ECG changes in acute stage of cerebral hemorrhage. The abnormal electrocardiogram of cerebral hemorrhage indicates poor prognosis.