急性脑卒中并发脑心综合征临床分析

摘要

目的：探讨急性脑卒中后并发脑心综合征(cerebro-cardiac syndrome,CCS)的临床特点。方法对该院神经内科住院急性脑卒中合并CCS患者的病变性质、部位、心电图、心肌酶检查、治疗与预后进行分析。结果 CCS在出血性卒中发病率(51.43%),高于缺血性卒中(19.09%),病灶位于基底节及丘脑发病率较高(68.42%)，心电图表现包括各种类型心律失常、Q-T间期延长、心肌缺血等改变，实验室检查心肌酶不同程度的升高。结论急性脑卒中治疗原发病的同时应重视脑心综合征的发生，及时发现和治疗脑心综合征，可提高急性脑卒中的疗效。%Objective To study brain heart syndrome of acute cerebral apoplexy (cerebro-cardiac syndrome, CCS) clinical char-acteristics. Methods The department of neurology patients with acute brain stroke combined CCS, electrocardiogram (ecg), myocar-dial enzymes of lesion nature, part of the examination, treatment and prognosis were analyzed. Results CCS in the incidence of hemorrhagic stroke(51.43%), higher than that of ischemic stroke (19.09%), higher incidence of lesions in the basal ganglia and tha-lamus (68.42%), electrocardiogram (ecg) performance including all kinds of arrhythmia, Q-T extended, myocardial ischemia, such as change, laboratory examination elevated myocardial enzymes of different level. Conclusion Acute stroke treatment of the prima-ry disease at the same time should pay attention to the occurrence of brain heart syndrome, timely detection and treatment of brain heart syndrome, can improve the curative effect of acute brain stroke.