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脑梗死患者急性期的心电图变化 被引量:4

EKG Changes in Cases of Acute Cerebral Infarction
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摘要 回顾性分析我院10年间急诊收治的脑梗死患者882例的心电图变化。有心电图变化的700例中ST-T段改变占44.6%,心律失常占38.4%,两者发生率比较有显著性差异(P<0.001)。40岁以上脑梗死患者合并心电图异常者占97.8%,不同年龄组问异常心电图发生率有显著性差异(P<0.001).基底节脑梗死以ST-T段改变多见,占此部位异常心电图的48.1%,下丘脑、颞叶、顶叶、枕叶部位梗死以心律失常多见,占此部位异常心电图的46.8%。缺血性心脑疾病发病基础相似,常伴随发生。 EKG changes in 882 cases of cerebral infarction during the past 10 yearswere analysed retrospectively. Among 700 cases with abnormal EKG findings, slight ST-T changes were found in 44. 6%, and 38. 4% complicating with arrhythmias (P<0. 001).In patients over 40 years, 97. 8% of cerebral infarction were complicated with abnormal EKG findings. The differences in abnormal EKG in different age groups were significant (P<0. 001 ). Changes in ST-T segment were frequently seen in the infarction of basal ganglion (48. 1 % ). Whereas cardiac arrhythmias were frequently seen in infarction of hypothalamus,temporal lobes, the vertex and occipital lobes (46. 8% ).
出处 《急诊医学》 CSCD 1995年第1期8-11,共4页
关键词 脑梗塞 急性期 心律失常 心电图 cerebral infarction EKG ischemic cerebral vascular disease ischemic heart disease basal ganglion hypothalamus arrhythmia
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