天津医药

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急性岛叶梗死心电图改变的分析

夏晓爽1,李新2,王纪佐2   

  1. 1. 天津医科大学第二医院
    2.
  • 收稿日期:2009-10-21 修回日期:2010-01-28 出版日期:2010-06-15 发布日期:2010-06-15
  • 通讯作者: 王纪佐

The analysis of Electrocardiographic changes in patients with acute insular infarction

  • Received:2009-10-21 Revised:2010-01-28 Published:2010-06-15 Online:2010-06-15

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摘要： 目的 观察急性大脑中动脉供血区的脑梗死患者的心电图改变，分析急性岛叶梗死对心电图的影响。 方法 回顾性分析205例急性大脑中动脉供血区的非腔隙性脑梗死患者的心电图。 结果 岛叶梗死组与非岛叶梗死组的心电图改变相比较,在59例岛叶梗死患者中出现窦性心动过速(7例,11.86%)、异位搏动(9例,15.25%)、ST段抬高（4例，6.78％）、T波改变(13例,22.03%)与非岛叶梗死组比较有统计学意义(P <0.05或P <0.01)。左右岛叶梗死心电图改变差别未发现统计学意义（P >0.05）。 结论 岛叶可能是影响脑梗死患者心脏自主神经活性和心电图的主要病变部位。急性岛叶梗死易于出现心电图的改变。

关键词: 脑梗死, 岛叶, 心电图

Abstract: Objective To observe Electrocardiographic changes in patients with acute nonlacunar MCA territory infarction, and analyze the influence of acute insular infarction on ECG. Methods ECG data of 205 patients with acute nonlacunar MCA territory infarction was analyzed retrospectively. Results Electrocardiographic changes in insular infarction group of 59 cases which manifested as sinus tachycardia(7cases, 11.86%), ectopic beat(9cases, 15.25%), ST segment elevation（4cases, 6.78％）, T wave changes (13cases, 22.03%) was more than in non-insular infarction group. The difference had statistical significance(P <0.05 or P <0.01). The difference of electrocardiographic changes between patients with left and right insular infarction had no statistical significance（P >0.05）. Conclusion The effect of acute cerebral infarction on cardiovascular autonomic function may be mainly correlated with insular lesion. Patients with acute insular infarction are proned to have electrocardiographic changes.

Key words: cerebral infarction, insula, electrocardiography