摘要
报告２００例脑出血患者急性期血清钠、钾紊乱的频率和性质。结果：脑出血急性期在２４小时和１周后低钠发生率分别为６７．５０％（１４５／２００）和６２．５０％（９０／１４４）；高钠发生率分别为０．５０％（１／２００）和６．２５（９／１４４），低钾发生率分别为１５．５０％（３１／２００）和１３．８９％（２０／１４４）；有２例在１周后发生高钾。除１周后发生的９例高钠血症患者死亡外，其他各种钠、钾紊乱均被纠正。提示：脑出血急性期水盐代谢紊乱是与卒中自身病理生理机制有关，强调１周后高钠是濒危的信号。
he frequency of occurrence and the character of serum sodium and potassium disturbances in the acute phase of cerebral hemorrhage in 200 patients were reported.The result showed:hyponatremia occurred in 67.50% of the patients (145/200) in the acute phase(within 24h)and 62.50%(90/144) one week after the episode;hypernatremia occurred in 0.50%(1/200)and 6.25%(9/144) respectively;hypokalemia in 15.50%(31/200)and 13.89%(20/144)respectively;two patients developed hyperkalemia one week after the episoode.With the exception that the nine patients with hypernatremia occurred one week after the episode died,the sodium and potassium disturbances in other patients were all corrected.It is suggested that water and electrolytes disturbances in the acuto phase of cerebral hemorrhage are involved in the pathophysiologic mechanism of stroke.It is emphasized that hypernatremia developed one week after the episode of strokc is a sign of imminent danger.
出处
《中国危重病急救医学》
CAS
CSCD
1996年第2期94-95,共2页
Chinese Critical Care Medicine
