摘要
目的:探讨急性脑血管疾病合并脑心综合征(CCS)的临床特征、发病机制和防治措施.方法:我院2009年1月~2010年10月的共诊断收治的100例急性脑血管疾病合并脑心综合征患者,对所有患者心电图、心肌酶谱动态观察,并结合临床资料进行回顾性分析.结果:本组急性脑血管疾病患者中,心脏损害主要表现为心电图ST-T改变(69%)、心律失常(63%)、心肌酶谱增高(66%).其中72小时内CCS发生率为85%,治疗好转率为95%,病死率为5%.结论:CCS发生与脑血管病类型有关,积极心电监测、保护心脏功能、控制心律失常等对患者安全渡过CCS期有较好作用.
Objective: To investigate the acute cerebral vascular disease with clinical features of brain--heart syndrome, pathogenesis and prevention measures. Methods:From January 2009 to October 2010 of 100 patients admitted were diagnosed with acute cerebrovascular disease in patients with brain --heart syndrome,electrocardiogram for all patients,dynamic observation of myocardial enzymes,and clinical data were retrospectively analyzed. Results: The patients with acute,heart damage mainly for ECG ST--T changes (69%), arrhythmia (63%), myocardial enzymes increased (66%). CCS which occurred within 72 hours was 85%,95% improved treatment,mortality was 5%. Conclusion:The occurrence of cerebral CCS the type of cerebrovascular disease,active cardiac monitoring,protectlon of heart function, control arrhythmias and other patient safety through better on the role of CCS.
关键词
急性
脑血管疾病合并脑心综合征(CCS)
临床
Aeute
cerebral vascular disease complicated by brain--heart syndrome
Clinical