脑出血并发低钠血症临床诊治分析

目的:探讨脑出血并发低纳血症的临床特点及治疗措施。方法:回顾性分析31例脑出血并发低钠血症患者的临床资料。结果:31例患者中,保守治疗23例,行脑室穿刺体外引流术8例,死亡5例,死亡率16.13%。结论:低钠血症是脑出血患者病情恶化的主要原因之一,对脑出血患者临床应重视电解质的平衡以及血纳的监测,发现患者血钠水平降低应及时根据诊断结果制定补液及钠盐补充量,从而降低脑出血患者的病死率。

Objective：To evaluate the clinical features, diagnosis and therapy for intracerebral hemorrhage complicated with hyponatremia. Method：The clinical data of 31 patients with intracerebral hemorrhage complicated with hyponatremia were analyzed retrospectively. Results：23 cases received conservative therapy and 8 eases underwent cerebroventrieular puncture cerebrospinal fluid drainage therapy of the 31 cases,5 patients died, mortality rate is 16.13 %. Conclusion： hyponatremia is the main cause of deterioration in patients with intraeerebral hemorrhage complicated,clinical should pay attention to hydro electrolyte balance,and the monitoring of blood sodium. Make sure of cause and to give preelse sodium infuse therapy as early as possible may reduce the mortality, and incidence of complication and sequela obviously, lntraeerehral hemorrhage complicated with hyponatremia should diagnose differentially and give proper treatment which is essential to reach prognosis.