目的探讨急性脑血管病的心电图特征和产生原因及其与临床的关系。方法对120例急性脑血管病患者的心电图资料进行回顾性分析,找出其心电图表现的主要特征及其与临床表现的相关性。结果120例急性脑血管病患者中心电图异常者98例,占81.7%;正常22例,占18.3%。结论急性脑血管患者的心电图异常发生率高,主要表现为复极异常及心肌损害。这可能与患者的中枢神经系统病变受损及高血压病史有关。 Objective To investigate the characteristics and cause of electrocardiogram (ECG) of acute cerebrovascular disease and its relationship with clinical. Methods The ECG data of 120 patients with acute cerebrovascular disease were retrospectively analyzed to find out the main features of ECG and its correlation with clinical manifestations. Results Of the 120 patients with acute cerebrovascular disease, 98 were abnormal electrocardiogram, accounting for 81.7%; 22 were normal, accounting for 18.3%. Conclusion The incidence of ECG abnormalities in patients with acute cerebrovascular disease is high, mainly manifested as repolarization abnormality and myocardial damage. This may be related to the patient’s central nervous system lesions and hypertension history.