摘要
目的:探讨脑卒中患者合并高渗血症的诊断与治疗方法。方法回顾性总结我院收治脑卒中患者合并高渗血症30例资料,所有患者治疗后按照文中观察指标进行统计并统计学方法比较差异性。结果患者治疗后,死亡14例,死因与高深血症直接相关的有11例(78.6%),剩余16例患者渗透压均值(306.7±13.4)mmol/L,血糖均值(7.2±0.8)mmol/L,血钠均值(141.3±6.6)mmol/L,均比治疗前明显改善(P<0.05)。结论脑卒中患者合并高渗血症采取积极的对症处理具有满意的临床效果。
Objective:To evaluate the diagnosis and treatment of stroke patients complicated with hypernatremia.Methods:retrospective analysis of our hospital stroke patients with hypernatremia in 30cases,al patients treated according to the observation index statistics and comparison of statistical methods.Results:after treatment,14cases of death,death and profound acidemia is directly related to the 11cases(78.6%),the remaining 16 patients osmotic pressure mean(306.7±13.4)mmol/L,mean blood glucose(7.2±0.8)mmol/L,the mean blood sodium(141.3±6.6)mmol/L,than before treatment significantly improved(P<0.05).Conclusion:stroke patients with plasma hyperosmolality take clinical symptomatic treatment actively is satisfactory.
作者
朱木林
袁云华
刘丹
ZHU Mu-lin;YUAN Yun-hua;LIU Dan(Sichuan Province Luzhou City People's Hospital,Department of Neurology,Luzhou Sichuan 646000,China)
关键词
高渗血症
诊治体会
渗透压
Hyperosmolarity
Diagnosis and treatment
The osmotic pressure