摘要
目的研究脑出血后高钠高氯血症的发生原因及预后。方法对431例脑出血患者进行入院常规电解质检查并复查,对高钠高氯血症组和非高钠高氯血症组的预后、出血部位、高热情况、合并症、糖尿病史、入院时意识情况和甘露醇使用剂量等进行对照研究。结果高钠高氯血症发生率为7.42%,病死率68.75%,其中高钠高氯血症组在丘脑出血、高热、合并症、合并糖尿病、意识障碍程度和甘露醇使用剂量等方面高于非高钠高氯血症组。结论脑出血后的高钠高氯血症的发生原因是多方面的,不但有中枢性原因,也有治疗方面的原因,病死率较高。
Objective To study the reasons and outcome of hypernatremia and hyperchloremia after cerebral haemorrhage. Methods The electrolytes of 431 inpatients were tested and retested after cerebral haemorrhage. The group of hypernatremia and hyperchloremia and the control group were studied on outcome,hematoma position,high fever,complications,past histroy of diabetes,consciousness of admission and mannitol dosage. Results The rate of hypernatremia and byperehloremia is 7.42% ,fatality rate is 68. 75%. The rate of thalamie haemorrhage,high fever,complications and diabetes ,the degree of consciousness and the mannitol dosage in the the group of hypernatremia and hyperchloremia were higher than the control group. Conclusion There are many aspects in the reasons for hypernatremia and hyperchloremia, not only including central reasons, but also have relation to treatment. Fatality rate is high.
出处
《中风与神经疾病杂志》
CAS
CSCD
北大核心
2007年第5期609-611,共3页
Journal of Apoplexy and Nervous Diseases
关键词
脑出血
高钠高氯血症
Cerebral haemorrhage
Hypernatremia and Hyperchloremia
