[蛛网膜下腔出血急性期的心电图和动脉压变化]。

M Popescu, G Nuţă, D Toma
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引用次数: 0

摘要

一项前瞻性研究对30例因蛛网膜下腔出血(SAH)入院的神经内科病房患者进行了研究。根据记忆、临床检查、脊柱穿刺、解剖病理检查确定诊断。排除其他脑血管疾病或有缺血性心脏疾病病史的患者。对所有患者的起病及发展过程中的心电图、血清电离图、AT、VA及其变化进行随访和评价。结论:急性期SAH与短暂的ECG和血压异常有关,当持续和深度改变时,这些异常会成为不良预后的因素。在鉴别诊断和适时的治疗干预中,它们是有价值的。
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[Electrocardiographic and arterial pressure changes in the acute phase of subarachnoid hemorrhage].

A prospective study was made of 30 patients, admitted to the neurology ward with subarachnoidal hemorrhage (SAH), at its onset. The diagnosis was established on the basis of anamnesis, clinical examination, spinal puncture, anatomopathological examination. The patients with other cerebrovascular affections or with antecedents of ischaemic cardiac affections were excluded. ECG tracings, serum ionogram, AT and VA at the onset and in evolution, and their modifications were followed and assessed in all the patients. The conclusion is reached that SAH in acute phase is associated with transitory ECG and pressure anomalies which become elements of unfavourable prognosis when persistent and deeply altered. They are valuable, at hand, elements in the differential diagnosis, and in the opportune therapeutical intervention.

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