脑出血患者血钠血钾变化的临床意义

Clinical analysis of the change of serum Natrium ion and Kalium ion in acute cerebral hemorrhage disease

目的:探讨急性脑出血时血钠、血钾的变化及其与出血部位、病情轻重、治疗、预后的关系。方法:采用日本OLYMPUS.AU-400型全自动生化分析仪,检测患者入院24h内、3～5d、7～8d空腹血钠、血钾。结果:急性脑出血389例,并发低血钠69例(17.74%),高血钠23例(5.91%),低血钾74例(19.02%),高血钾15例(3.85%)。在脑出血患者中低钠血症发生率较高,与脑出血部位、病情轻重及预后有关,高钠血症、高钾血症发生率较低,与病情轻重及预后也有关。低血钾虽发生率较高但与病情及预后无关。结论:血钠血钾均可作为脑出血病情轻重及预后的判断指标之一。

Objective:To explore the change of serum Na+ and K+ in acute cerebral hemorrhage and its relation with haemorrhagic position, developing of the illness, treatment and prognosis. Methods:Fasting serum Na+ and K+ were tested by biochemistry analyzer when in-patients were observed in 24 hours; between 3th to 5th day; between 7th to 8th day. Results:There are totally 389 patients of hospitalization from 2002 Jan to 2006 Dec, in which there are 69 cases had hyponatremia(17.74%); 23 cases had hypernatrium(5.91%);...