摘要
目的研究脑出血并发高钠血症病人病死率及其发生原因。方法收集 2 2 1例脑出血病人 ,其中 33例并发高钠血症 (血清钠离子浓度 >145mmol/L)者作为高钠血症组 (A组 ) ,其余 188例不伴高钠血症者归入对照组 (B组 )。结果A组死亡 18例 ,病死率 5 4 5 5 % ;B组死亡 43例 ,病死率 2 2 87% ,两者差异有显著意义 (P <0 0 1)。既往有糖尿病病史者百分比 ,A组明显高于B组 (P <0 0 1)。丘脑出血发生率 ,A组明显高于B组 (P <0 0 1)。体温超过 39℃者百分比 ,A组明显高于B组 (P <0 0 1)。甘露醇每日用量大于 5 0 0ml持续 10日以上者百分比 ,A组明显高于B组 (0 0 5 >P >0 0 1)。结论脑出血并发高钠血症者 ,其病死率明显高于对照组 ,且血清钠离子水平越高病死率越高 ,其发生原因与糖尿病、丘脑出血、发热、甘露醇使用量大等因素相关。
Objective To study the mortality and cause of intracerebral hemorrhage complicated hypernatremia. Methods 221 cases of intracerebral hemorrhage were studied, which 33 cases with hypernatremia as group A and 188 cases from other as control group B. Results 18 cases died that mortality 54.55% in group A, and in group B 43 cases died, mortality 22.87%. There were obvious difference between both group ( P <0.01). In group A the patients with diabetes, thalamic hemorrhage, temperature over 39℃, and the amount of mannitol were much more than the group B ( P <0.01 and P <0.05) respectively. Conclusion The mortality of patients with intracerebral hemorrhage complicated hypernatremia was significantly greater than control group. Moreover, natriumion concentration higher and mortality greater. The cause of hypernatremia was correlative with diabetes, thalamic hemorrhage, fever, and application of mannitol.
出处
《贵州医药》
CAS
2000年第6期343-344,共2页
Guizhou Medical Journal
关键词
脑出血
高钠血症
并发症
糖尿病
Intracerebral hemorrhage
Hypernatremia
Thalamic hemorrhage
Diabetes
