急性脑血管病(ACVD)并发心肌梗或酷似心肌梗塞的心电图改变,临床上有称为“脑心卒中”或“脑心综合征”。现报告4例于后: 例1 男,54岁。突然意识不清1小时。半小时后神志转清,诉头痛。查体中患者突然四肢抽搐,全身湿冷,测血压%kPa,心率30～40次,呈频发室早,二联律。给升压药物及利多卡因治疗。半小时后神志又转清,血压26.6/10.6kPa;心率100次。查脑脊液常规:均匀血性,可见皱缩红细胞,符合特发性珠网膜下腔出血(ISAH)之诊断。EKG示“ST、Ⅰ、Ⅱ、aVL、V2-V5下移0.1～0.5mv,ST_(aVR),V_1上移2mv。TⅠ、Ⅱ、Ⅲ、aVL、aVF、V2-V5呈冠状T。拟 Acute cerebrovascular disease (ACVD) complicated by myocardial infarction or myocardial infarction-like ECG changes, clinically known as “brain stroke” or “brain syndrome.” Four cases are now reported: one male, 54 years old. Suddenly confused for 1 hour. After half an hour clear consciousness, v. Headache. Examination of patients with sudden limbs twitching, body wet and cold, blood pressure measured kPa, heart rate 30 to 40 times, was frequent room early, two association law. To boost drugs and lidocaine treatment. Half an hour later consciousness and turn clear, blood pressure 26.6 / 10.6kPa; heart rate 100 times. Check cerebrospinal fluid routine: uniform bloody, visible red blood cells, in line with idiopathic subarachnoid hemorrhage (ISAH) diagnosis. EKG showed "ST, Ⅰ, Ⅱ, aVL, V2-V5 down 0.1 ~ 0.5mv, ST_ (aVR), V_1 up 2mv.TⅠ, Ⅱ, Ⅲ, aVL, aVF, V2-