急性脑血管病导致低钠血症临床意义探讨

Explore the clinical significance on the acute cerebrovascular disease resulted the low serum sodium

目的:探讨急性脑血管病导致低钠血症的临床意义。方法:选择急性脑出血140例、蛛网膜下腔出血8例、急性脑梗塞154例,分别测定患者空腹血清钠数值。结果:140例急性脑出血血清钠低于131mmol/L者30例(21.43%)。8例蛛网膜下腔出血血钠低于131mmpl/L者2例(25%)145例急性脑梗塞血清钠低于131mmol/L者16例(1039%)。脑出血组低钠血症的发生率明显高于脑梗塞组(P<0.01)。48例低钠血证组中出现昏迷者14例(29.17%)、死亡8例(16.67%),254例非低钠血症组出现昏迷者30例(11.81%)死亡11例(4.33%),组间比较差异显著(P<0.01)。结论:应重视急性脑血管病特别是脑出血导致低钠血症的防治。

Objectve:To explore the clinical significance of the low serum sodium that was caused by the acute cerebrovascular disease.Methods:There were 140 cases patients of the acute brain haeamorrhage.8 patients of the subarachnoidspace bleeding,154 cases patients of the acute cereinfarction,their serum sodium were measured in the empty stomach Results:The serum sodium was lower than 131mmol/L in which there 30 of 140 cases on the acute brain heamorrhage(21.43%)in which there were 2of 8cases on the subarachnoidspace bleeding(25%),in which there were 16 of 154 cases on the acute cereinfarction (10.39%).In the brain haemorrhage patients caused the low serum sodium was much higher than in the cereinfarction patients(P<0.01),In the low serum sodium group(48cases)happened coma,8 case (16.67%)happened death.In the nonlow serum sodium group(25cases) 30cases(11.81%) happened coma. 11 cases (4.33%) happened death. There were significantly different between the low serum and the nonlow serum sodium group(P<0.01).Conclusion:It should be attached importance to prevent and cure the Low Sodium serum sodium which caused by the acute cerebrovascular disease,particular brain heamorrhage.