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目的：为研究急性脑出血（ＡＣＨ）时ＥＣＧ变化及危险因素。方法：对８０例患者入院后４８ｈ内行血脂、ＥＣＧ检查，观察ＥＣＧ异常变化及血压、血脂，了解血肿是否破入脑室，有无感染以及意识障碍等对其的影响。结果：ＥＣＧ异常率为６６３％，且具有可逆性。结论：ＡＣＨ时，ＥＣＧ异常变化与血压、血脂有一定关系。表明高血压或高血压并高脂血症患者更易引起ＥＣＧ异常，而ＥＣＧ变化与年龄、血肿是否破入脑室关系不大，但合并感染，意识障碍时，ＥＣＧ异常表现明显升高（Ｐ＜００１）提示影响ＥＣＧ变化因素复杂，且各因素对其影响程度不同，并初步分析了ＡＣＨ时ＥＣＧ异常变化的机理。
Objective: To study ECG changes and risk factors in patients with acute cerebral hemorrhage (ACH). Methods: 80 patients were admitted to hospital within 48h after lipid, ECG examination to observe the abnormal ECG changes and blood pressure, blood lipids, to understand hematoma is broken into the ventricle, with or without infection and disturbance of consciousness. Results: The abnormal rate of ECG was 663%, and it was reversible. Conclusion: ACH, abnormal ECG changes with blood pressure, blood lipids have a certain relationship. These findings suggest that patients with hypertension or hypertension and hyperlipidemia are more likely to cause ECG abnormalities. However, ECG changes have little to do with whether age and hematoma break down into the ventricles, but abnormalities of ECG are significantly increased in patients with infection and disturbance of consciousness (P <0 01) suggest that ECG changes affect the complexity of factors, and the impact of various factors on their different levels, and initially analyzed the mechanism of ECG abnormal changes in ACH.