急性脑血管病患者血钠 血钾的变化及其临床意义

The change and clinic sense of serum Na+and K+in patients with acute cerebrovascular disease

目的 探讨急性脑血管病时血钠、血钾的变化及其与中风类型、病情轻重、预后的关系。 方法 采用日立7060型全自动生化分析仪检测患者入院后次日晨空腹血钠、血钾。结果 272例患者中出现低血钠10例、高血钠7例、低血钾32例、高血钾8例 ;低血钠和中风类型、病情轻重有关 ,与预后无关 ,低血钾与中风类型、病情轻重、预后无关 ,高血钠、高血钾和病情轻重、预后有关 ,与中风类型无关。 结论 血钠的改变及高血钾可作为判断急性脑血管病病情轻重、预后的指标之一。

Objective To explore the change of serum Na+and K+in acute cerebrovascular disease and its relation with stroke type?deˉveloping degree of the illness and prognosis. Methods Fasting serum Na+and K+were tested by Hitachi7060automatic biochemistry analyzer next morning of hospitalization in272patients. Results In272patients,10cases had hyponatremia,7cases had hypernatrium,32cases had hypokalemia and8cases had hyperkalemia.Hypokalemia had nothing to do with stroke type?developing degree of the illness and prognosis,but hypernatrium and hyperˉkalemia were related with developing degree of the illness and prognosis and were not related with stroke type. Conclusions The change of serum Na+and hyperkalemia could act as one of index that could verdict developing degree and prognosis of acute cerebrovascular disease.