摘要
目的探讨心电图（ECG）监测在动脉瘤性蛛网膜下腔出血（SAH）病程中的变化，并判定其在SAH预后中的预测价值。方法回顾性分析108例住院期间做过ECG检查的动脉瘤性SAH患者资料．分析其改变特征与预后之间的关系。结果108例患者开颅夹闭动脉瘤41例．血管内介入治疗67例。108例患者中初次ECG异常者89例，占82．4％；ST-T改变71例，心律异常13例。Q-T间期延长14例，T波改变37例，异常Q波9例，其他异变者7例；有2种以上波形改变者62例。心电图复查基本恢复正常者99例，好转5例，加重4例。结论ECG改变与SAH预后之间无显著相关性．但在SAH病程中监测ECG前后变化对判定预后具有重要的临床参考价值。
Objective To investigate the variation of electrocardiogram （ECG） in the course of aneurysmal subarachnoid hemorrhage （SAH） for predicting the prognosis. Methods The in-hospital data of 108 cases with aneurysmal SAH who had underwent ECG re-examination were retrospectively analyzed to find out the relationship between characters of ECG and prognosis. Results Of the 108 cases, aneurysm clamping by craniotomy was performed in gl and endovascular intervention in 67; a total of 89 cases （82.4%） presented abnormal ECG primitively, 62 patients had 2 kinds of ECG changes at least; 71 patients presented abnormal ST-T, 13 cases with abnormal cardiac rhythm, lg cases with delayed Q-T intermediate stage, 37 cases with abnormal T wave, 9 cases with abnormal Q wave, and 7 cases with other changes, 99 cases recovered in ECG re-examination, 5 cases partly recovered and g cases aggravated. GOS score was 4-5 in 98 cases, 3 in 7 cases, and 1-2 in 3 cases. Conclusion Though the type of ECG variation has no significant correlation with SAH prognosis, ECG monitoring during the course of SAH is of important value for predicting the prognosis.
出处
《中华神经医学杂志》
CAS
CSCD
2008年第8期822-824,共3页
Chinese Journal of Neuromedicine
