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本文分析126例老年人原发性蛛网膜下腔出血(SAH)的心电图改变,其中心电图正常21例,不正常105例。两组病人在年龄、性别、高血压史、烟酒史、糖尿病史、入院时血压、血钾及血脂测定均无明显差异,但两组病人的预后却有明显差异(P<0.05),特别是心电图复查无改善或者恶化者预后更差,提示心电图的变化可作为老年人(SAH)判断预后的独立参考指标。在治疗上要重视保护心功能,同时应把心电图作为常规检查,并定期复查。
This article analyzes 126 elderly patients with primary subarachnoid hemorrhage (SAH) ECG changes, including 21 cases of normal ECG, abnormal 105 cases. The two groups of patients in the age, gender, history of hypertension, history of alcohol and tobacco, history of diabetes, admission blood pressure, serum potassium and blood lipid determination were no significant difference, but the prognosis of the two groups were significantly different (P <0.05), especially Is no improvement ECG review or worsen worse prognosis, suggesting that changes in ECG can be used as an independent prognostic reference for elderly (SAH) prognosis. In the treatment should pay attention to the protection of cardiac function, at the same time ECG should be routine examination, and regular review.