CAJ | 학술논문

目的：研究急性脑卒中（CVS）患者发生脑心综合征（CCS）及其预后相关性。方法对120例通过脑CT扫描确诊的CVS患者分别测定在发病不同时间的心肌酶谱水平，并行超声心动图检查，观察节段性室壁运动异常（SWM A ），并进行十二导联心电图（ECG）检查，分析检查结果。结果本组120例患者中，50例（41．6％）发生ST‐T波改变，其中38例（76．0％）显示T波改变，而12例（24．0％）显示ST段压低；7例患者观察到心律失常和心电传导异常；有24例患者观察到SWMA改变，肌酸激酶同工酶（CK‐MB）升高者有32例（26．7％）。经积极治疗后，随着病情的好转35例ECG恢复正常，17例ECG明显好转，无改善者18例；15例患者心肌酶谱恢复正常，8例患者明显好转；共20例患者死亡。结论高血压是CCS的危险因素，ST‐T改变和SWM A改变与CCS有一定联系，心肌酶谱异常和CCS患者心肌损伤具有一定相关性。
목적：연구급성뇌졸중（CVS）환자발생뇌심종합정（CCS）급기예후상관성。방법대120례통과뇌CT소묘학진적CVS환자분별측정재발병불동시간적심기매보수평，병행초성심동도검사，관찰절단성실벽운동이상（SWM A ），병진행십이도련심전도（ECG）검사，분석검사결과。결과본조120례환자중，50례（41．6％）발생ST‐T파개변，기중38례（76．0％）현시T파개변，이12례（24．0％）현시ST단압저；7례환자관찰도심률실상화심전전도이상；유24례환자관찰도SWMA개변，기산격매동공매（CK‐MB）승고자유32례（26．7％）。경적겁치료후，수착병정적호전35례ECG회복정상，17례ECG명현호전，무개선자18례；15례환자심기매보회복정상，8례환자명현호전；공20례환자사망。결론고혈압시CCS적위험인소，ST‐T개변화SWM A개변여CCS유일정련계，심기매보이상화CCS환자심기손상구유일정상관성。
Objective To investigate the correlation between the cerebrocardiac syndrome (CCS) of severe type and prediction of prognosis of patients with neurosurgery .Methods Myocardial zymogram levels were measured in course of development of 120 ca‐ses of Acute Stroke(AS) that were confirmed diagnosis by brain computerized tomography (CT) .ultrasoundcardiogram(UCG)and electrocardiogram(ECG)were used to dectect Segmental Wall Motio Abnormalities (SWMA) .Results For 120 patients with AS , the specimens include 38 cases(76 .0% )of T‐wave change and 12 cases(24 .0% )of ST‐segment depression in 50 cases of ST‐T seg‐ment change ,7 cases of arrhythmia and adnormal cardiac electrical conduction .24 cases of SWM A ,32 cases(26 .7% ) of raised CK‐MB ,35 patients could be recovered to normal of ECG after active treatment .17cases of ECG improve markedly ,18 cases of ECG un‐improved ,15 cases of myocardial enzymes normally ,8 cases of myocardial enzymes improve markedly20 cases of death .Conclusion Hypertension is a risk factor of CCS ,correlation between ST‐T segment and SWMA as well as myocardial enzymes and myocardial damagein CCS was statistically analyed .