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目的:研究分析脑出血合并中枢性低钠血症的临床特点与治疗方法。方法:选取2009年1月～2011年10月间入院治疗的脑出血合并中枢性低钠血症患者59例的临床资料进行回顾性分析。结果:在59例脑出血患者中,其中合并有中枢性低血钠的患者有25例(42.37%),其中治疗后低血钠组昏迷8例(32.00%),死亡6例(24.00%),非低血钠组昏迷2例(5.88%),死亡1例(2.94%)。结论:脑出血合并中枢性低钠血症患者的发病机制复杂,病情危重,临床表现无特异性多种多样,需要医师认真诊断、治疗。
Objective: To study the clinical characteristics and treatment of cerebral hemorrhage complicated with central hyponatremia. Methods: The clinical data of 59 patients with cerebral hemorrhage complicated with central hyponatremia admitted to hospital from January 2009 to October 2011 were retrospectively analyzed. Results: Among 59 patients with cerebral hemorrhage, 25 patients (42.37%) had central hyponatremia, among which 8 patients (32.00%) were coma and 6 patients (24.00%) died after treatment, 2 cases (5.88%) were unconjugated and 1 case died (2.94%). Conclusion: The pathogenesis of ICH patients complicated with central hyponatremia is complicated and the condition is critical. The clinical manifestations are nonspecific and diverse, requiring doctors’ careful diagnosis and treatment.