摘要
为探讨急性脑血管病与继发性冠状动脉疾患的关系，对１１６ 例脑心综合征（ Ｂ Ｈ Ｓ） 和１１９ 例非脑心综合征（ Ｎ Ｂ Ｈ Ｓ） 进行对比分析。结果显示本组 Ｂ Ｈ Ｓ 男性显著多于女性（ Ｐ＜ ０ ．０５） ，７０ 岁以上占６８ ．６ ％ ，其发生与卒中类型、病变部位、病情严重程度有关。脑出血的 Ｂ Ｈ Ｓ 发生率（６７ ．３７ ％ ） 高于脑血栓（２５ ．８６ ％ ） 。出血破入脑室或脑干时 Ｂ Ｈ Ｓ发生率高。泵衰竭是 Ｂ Ｈ Ｓ 死亡的主要原因，其次为心律失常。结果提示：早期诊断、解除高颅压、加强心电监护、预防泵衰竭和及时纠正心律失常是治疗的重要环节。
To analyze the relationship between acute cerebrovascular diseases with secondary coronary heart diseases, 116 cases of brain heart syndrome (BHS) and 119 cases of non brain heart syndrome (NBHS) were analyzed contrastively. The result showed that BHS was found more commonly in the old men. About 68.6% of patients were with an average age older than 70 years old. The occurrence of BHS were associated with stroke type, lesion location and the severity of disease . In these BHS patients, brain hemorrhage (67.37%) was found more commonly than brain embolism (25.86%). Intraventricular hemorrhage or brainstem press always indicated a high BHS occurrence accompanied with a bad prognosis and high mortality. The main cause of death is pump failure. Some key points for treatment are earlier diagnosis, release from high ICP, ECG monitoring, prevention from pump failure and timely adjustment of arrhythmia.
出处
《首都医科大学学报》
CAS
1999年第3期192-194,共3页
Journal of Capital Medical University
