摘要
目的 :探讨低钠血症与急性脑血管病的关系。方法 :应用CORNNING -6 44型全自动生化分析仪测定 12 4例急性脑血管病患者的血清钠。结果 :12 4例急性脑血管病患者中低钠血症的发生率为2 9.0 % ,以蛛网膜下腔出血最多 ,占 5 5 .6 % ;意识障碍者并发低钠血症的发生率高于神志清醒者 ,占45 .2 % ;伴有下丘脑损害者低钠血症发生率高于无下丘脑损害者 ,占 5 7.1% ,以上比较均有极显著性差异 (P <0 .0 1)。脑出血患者中 ,出血部位在基底节区者低钠血症发生率高于脑叶出血者 ,占 40 .0 % ;急性期死亡和恶化自动出院者低钠血症发生率高于治愈好转者 ,占 5 5 .5 % ,其差异均有显著性意义 (P<0 .0 5 )。结果
Objective: It is to investigate the relation between hyponatremia and acute cerebrovascular disease. Methods: The serum natrium of 124 patients with acute cerebrovascular disease were determined and analyzed. Results: In 124 patients with acute cerebrovascular disease, the incidence of hyponatremia was 29.0%, subarachnoid hemorrhage was 55.6%, unconsciousness was 45.2%, which were higher than consciousness, lesion of hypothalamus was 57.1%, which were higher than lesionless. Moreover, there was much significant difference in the frequencies (P<0.01). In the patients with cerebral hemorrhage, the incidence of hyponatremia with bleed in basilar segment of brain was 40.0%, which was higher than that bleed in lobe of brain, and the incidence of hyponatremia with acute death or worsen or autodischarg was 55.5%, which were higher than that of the recovered. There was a significant difference in frequencies (P<0.05). Conclusion: Lesion of hypothalamus is the main reason to cause hyponatremia in patients with acute cerebrovascular disease.
出处
《现代中西医结合杂志》
CAS
2002年第17期1643-1644,共2页
Modern Journal of Integrated Traditional Chinese and Western Medicine
