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1947年Byer首先报道原发性蛛网膜下腔出血(SAH)患者有心电图改变,其后日益引起人们的重视。现将我院内科自1988～1993年收治的144例SAH患者的心电图改变报告如下。 1 临床资料 1.1 一般资料 144例中男性69例,女性75例,年龄为15～76岁,平均47.5岁。入院后均行12导联常规心电图检查,发病距首次心电图检查的时间短者数小时,最长者7天,平均2天。 1.2 心电图改变 144例中有心电图异常者108例(75％),其中66例同时有心肌缺血性改变及心律失常等2～3项以上心电图改变。 1.2.1 “缺血性改变”(ST-T异常)70例(64.8％),计
Byer first reported in 1947 patients with primary subarachnoid hemorrhage (SAH) ECG changes, then increasingly attracted people’s attention. Now our hospital since 1988 to 1993 admitted 144 cases of SAH patients ECG report as follows. 1 Clinical data 1.1 General Information 144 cases of 69 males and 75 females, aged 15 to 76 years, mean 47.5 years. All patients underwent 12-lead routine electrocardiogram (ECG) examination after admission. The incidence was shortened from the time of the first electrocardiogram examination by a few hours and the longest was 7 days with an average of 2 days. 1.2 Electrocardiogram changes in 144 cases of ECG abnormalities in 108 cases (75%), of which 66 cases of myocardial ischemic changes and arrhythmia, 2 to 3 or more ECG changes. 1.2.1 “Ischemic changes” (ST-T abnormalities) 70 cases (64.8%), total