摘要
本文分析了８４例因急性脑血管病死亡患者的尸检和心电图资料。脑出血患者的心律失常发生率要多于脑梗塞。小脑损伤时，窦性心动过速的发生高于大脑及其它部位的病变。心电图表现有心肌梗塞图形的患者，在病理检查中，绝大部分心脏除了原有疾患造成的病理损害外，其心脏解剖并未发现梗塞病灶，但其中３例有心肌细胞溶解、变性和单核细胞浸润。因此，我们认为，急性脑血管病时，颅内病变引致的综合因素有可能造成心肌的一定损害。
Autopsy data of 84 acute cerebrovascular disease patients were analyzed.The incidence of cardiac arrhythmias in patients with cerebral hemorrhage were higher than those with cerebral ischemic apoplexy(p<0.02).In acute cerebellar stroke,sinus tachycardia was more freqently present than damage in other parts of the brain (p<0.02).In most of the cases,no fresh pathological focus was found in the hearts even in those with ECG evidence of myocardial infarction in the period of acute cerebrovascular accidents,but 3 patients showed focallysis and denaturation of the myocardial cells,and mononuclear cell infiltration.It is concluded that acute cerebrovascular disease could cause certain injuries of the myocardium.
出处
《中国循环杂志》
CSCD
1995年第2期87-89,共3页
Chinese Circulation Journal
关键词
心电图
脑血管疾病
尸检
病例分析
Acute cerebrovascular disease
Autopsy
Electrocardiography
