急性脑血管病患者血清内源性类洋地黄物质与低钠血症的临床观察

Clinical Observation on Serum Endogenous Digitalislike Substance and Hyponatremia in Patients with Acute Cerebral Disorders

为探讨急性脑血管病患者血清内源性类洋地黄物质与并发低钠血症的关系，对１００例急性脑血管病患者进行血钠及ＥＤＬＳ测定，结果，血清钠与ＥＤＬＳ含量呈负相关（ｒ＝３．８５８，Ｐ＜０．０５）；有意识障碍者血清ＥＤＬＳ明显高于无意识障碍者（Ｐ＜０．０５）。提示有意识障碍的急性脑血管病患者易并发低钠血症，尤其是脑出血患者，且病情越重，并发低钠血症的可能性越大。

Serum natrium and serum endogenous digitalislike substance(EDLS) were measured in 100 patients with acute cerebral disorders.The results showed that serum natrium and EDLS had a negative relation;serum EDLS was higher in patients with coma than in patients without coma(P<0.05).Our study indicates that hyponatremia develops easily in acute cerebral disorder patients with coma,especially in those with cerebral hemorrhage.The more severe the disease is ,the more easily the hyponatremia develops.