脑出血后并发低钠血症与出血部位及预后分析

Analysis of Bleeding Position and Prognosis of Intracerebral Hemorrhage Complicated with Hyponatremia

[目的】探讨脑出血患者出血部位与低钠血症的关系，并发低钠血症后患者的预后情况。【方法】对256例脑出血患者的出血部位，血清钠降低情况及头部CT等临床资料进行分析。【结果】全组患者死亡54例（21．1％）；低钠血症患者31倒，死亡19例（61．30／）（x^2=25．357，P〈0．01），低钠血症的程度与病死率呈负相关（r=-0．73，P〈0．01）。【结论】脑出血患者的预后与低钠血症的发生有关，其低钠血症的程度越严重，病死率越高。

[Objective]To explore the relationship between bleeding position in patients with cerebral hem orrhage and the occurrence of hyponatremia and the prognosis of the patients accompanied by hyponatremia. [Methods] The clinical data such as bleeding position, the decreasing level of serum sodium and head CT of 256 patients with cerebral hemorrhage were analyzed. [Results]Among all patients, 54 patients（21. 1%） died. Of 31 patients with hyponatremia, 19 patients（61. 3%） died（x^2= 25. 357, P 〈0.01）. The degree of hyponatremia was negatively correlated with the mortality（r=-0. 973, P 〈0.01）. [Conclusion] The prognosis of the patients with cerebral hemorrhage is closely related to the occurrence and degree of hyponatremia. The lower the serum sodium, the higher the mortality.