Retrospective Study Of Abnormal Changes Of Heart Caused By Acute Cerebral Hemorrhage

Objective:To investigate the abnormal changes of the heart after acute cerebral hemorrhage and its relationship with the severity of the disease.Methods:Collected in October 2016-October 2017 in the second affiliated hospital of medical college in xian eligible in hospitalized patients with acute cerebral hemorrhage,records patients with a Glasgow coma scale(GCS)score,sex,age,clinical diagnosis,laboratory examination after admission,meanwhile the complications of the record,personal history,such as presence of long-term smoking or drinking alcohol,and patients have recently without affecting the heart medications,and so on.Discuss cerebral hemorrhage parts compared with electrocardiogram(ecg)and myocardial enzyme spectrum between change,bleeding in the brain's blood loss compared with electrocardiogram(ecg)and myocardial enzyme spectrum between changes,as well as the area of cerebral hemorrhage and cerebral hemorrhage blood loss,respectively,and the presence of the heart to change the condition between the degrees of comparisonResults: All patients were statistically analyzed: 1.Cerebral hemorrhage was divided into groups.The thalamus and lobes group compared with the rate of abnormal electrocardiogram(ecg)statistically difference(chi-square = 7.670,p = 0.006),basal ganglia group rate of abnormal electrocardiogram(ecg)and the lobes comparative difference was statistically significant(chi-square = 6.076,p = 6.076).The difference between the abnormal rate of the thalamus group and the lobes group(ish = 13.15,p = 0.00)and that of the basal ganglia group and the lobes group(y = 7.77,p = 0.005)is statistically significant.Admission GCS score change group compared with the abnormal group was statistically significant for basal ganglia group(t = 4.196,p < 0.001),thalamus(t = 4.916,p< 0.001),the cerebellum group(t= 3.72,p = 3.72),lobes group(t = 7.217,p < 0.001),(2)in cerebral hemorrhage amount of blood loss,rate of abnormal electrocardiogram(ecg)the bleeding < 10 ml group and the bleeding > 30 ml group difference was statistically significant(chi-square = 4.356,p =4.356).The difference between the abnormal rate of myocardial enzyme and the amount of cerebral hemorrhage <10ml group and the amount of blood loss >30ml group was statistically significant(gear 2=3.879,p=0.049).The GCS score on admission showed that the amount of cerebral hemorrhage was less than 10 ml,and the comparison between the normal group and the abnormal group was statistically significant(t=-4.803,p=0.000).The amount of cerebral hemorrhage between 10 ml and 19 ml was statistically significant in the normal heart group and the abnormal group(t=-2.332,p=0.036).The amount of cerebral hemorrhage between 20-30 ml was also statistically significant between the normal group and the abnormal group(t=-2.17,p=0.014).Conclusion:(1)The closer the bleeding site is to the central area of the brain,the more obvious the changes of ecg and myocardial enzyme spectrum are.(2)abnormal changes in electrocardiogram are most common in bipolar disorder,and the most obvious changes are in CK in myocardial enzyme spectrum.(3)in addition to brain cadre,the condition of the group with abnormal heart changes in other parts was heavier than that of the group without changes.(4)within 30 ml of cerebral hemorrhage,the condition of the group with abnormal heart changes was more serious than that of the group without changes..