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老年人因限制饮水、腹泻、发热等常易引起脱水、脑卒中时血细胞血浆比升高,入院后即使给予相当量的输液,经3～4天后,大多仍持续升高。特别是以脑栓塞和脑出血相比较,发病前、发病当日,血细胞血浆比、血红蛋白和红血球数均升高。脑卒中发病后,水分补给不足的患者,血胞细血浆比异常升高,常不必要地延长了意识水平低下的时间。同时,血清蛋白、血尿素氮、血糖、钠含量也升高。这种状态下入院的患者,通过适当的输液,意识水平可迅速恢复,上述各异常值也恢复正常。若原有糖代谢异常或合并使用激素,而发展为高渗性非离子性糖尿病昏迷的老年患者,如不迅速治疗,就会发生不幸的转归。所以,在病情恶化时,应测血糖和血细胞血浆比。
Due to restrictions on drinking water, diarrhea, fever and other elderly often cause dehydration, stroke blood cell plasma ratio increased, even after admission to give a considerable amount of infusion, after 3 to 4 days, most still continued to rise. Especially in cerebral embolism and cerebral hemorrhage compared to the onset, the date of onset, blood cell plasma ratio, hemoglobin and red blood cell count were increased. After the onset of stroke, patients with inadequate water supply have unusually high ratios of plasma cells to plasma cells, often unnecessarily prolonging the time of low consciousness. At the same time, serum protein, blood urea nitrogen, blood sugar, sodium content also increased. Patients admitted to this state, through appropriate infusion, the level of consciousness can be quickly restored, the above abnormalities also returned to normal. If the original abnormal glucose metabolism or the combined use of hormones, and the development of hyperosmolar non-diabetic coma elderly patients, if not treated quickly, there will be an unfortunate outcome. So, when the condition is deteriorating, blood glucose and blood cell plasma ratio should be measured.