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目的：对急性重症脑血管并发症高钠血症临床预后相关问题进行调查讨论。方法：选取我院2009年9月-2014年10月间146例急性重症脑血管患者，检测所有患者入院后24h、三天、七天的血清钠水平，并分析其与患者预后的关系。结果：高钠血症患者死亡人数为39例，正常患者死亡人数为2例，两组比较存在明显差异，P＜0.05。结论：高钠血症通常发生在脑血管疾病后的3～9天，其发病程度与患者死亡机率呈正相关。“,”ObjectiveFor acute severe cerebrovascular complications high natremia investigate the clinical prognosis related issues to discuss.MethodFrom September 2009 to 2009 years in October, 146 cases of patients with acute severe cerebrovascular, detection of all patients admitted to hospital after 24 h, three days, seven days of serum sodium levels, and to analyze its relationship with the prognosis of patients.ResultThe death toll to 27 patients with high blood sodium, the death toll in 22 patients with normal, there exists significant difference compared two groups(P < 0.05).ConclusionHigh natremia usually occurs in 3 to 9 days after cerebrovascular disease, its morbidity degree death rates were positively correlated with the patient.