摘要
对247例高血压性基底节区脑出血手术治疗前后的心电变化进行了观察。结果表明每例患者手术前心电异常2.95±0.44项次,术后1.11±0.13项次(P<0.01)。根据基底节区脑出血波及范围分级,波及的范围越大越向中线侧心电图变化越明显,死亡病例大于存活病例(P<0.05)。本研究证实心电改变与脑组织损毁程度及颅内压有关,而与血钾变化无关,其机制是影响到丘脑下部植物神经中枢。
The electrocardiographic changes before and after evacuation of the hypertensiveintracerebral hematoma at the basal ganglion area were studied. The result showedthat the number of ECG abnormalities before surgery were 2.95±0.44 in average foreach patient, but after surgery it was 1.11±0.13 (P<0.01). It was found that thelarger the extent of the hematoma and the more the damage to the midline structure,the more evident the ECG changes; and in the mortal cases more serious changes inthe heart was found than in the survivals (P<0.05). It was believed that the ECGchanges were related to the severity of injury of the cerebral tissue and the intracra-nial pressure, not to serum kalium levels. This could be explained by the affectedfunction of the hypothalamus.
出处
《天津医药》
CAS
1992年第7期398-400,共3页
Tianjin Medical Journal
关键词
脑出血
心电监护
外科手术
intracerebral hematoma
neurosurgery electrocardiographic monitoring
