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脑出血并发低钠血症临床上并非罕见,但文献报道不多,尽管其常常是可逆的.如处理不当亦可能危及生命.本文报告32例脑出血并发低钠血症的诊治经验.1 临床资料1.1 一般资料 本组32例,男17例,女15例,年龄32～68岁,平均47.5岁.既往有高血压病史24例,脑出血2例,脑梗塞1例.CT扫描显示病人脑出血位于基底节区15例,丘脑18例,外囊4例,脑叶2例,原发性脑室出血3例.血肿破入一侧侧脑室12例,双侧侧脑室9例,侧脑室及Ⅲ、Ⅳ脑室5例.出血量24～180ml,平均69ml.既往无肾功能异常史.1.2 临床表现 低钠血症发生于出血后3～5d 27例,
Cerebral hemorrhage complicated with hyponatremia is not uncommon clinical, but the literature reported small, although it is often reversible, such as improper handling may also be life-threatening.This article reports 32 cases of cerebral hemorrhage with hyponatremia experience in the diagnosis and treatment .1 clinical Data 1.1 General Information The group of 32 patients, 17 males and 15 females, aged 32 to 68 years old, an average of 47.5 years old in the past 24 cases of history of hypertension, cerebral hemorrhage in 2 cases, cerebral infarction in 1. CT scan showed that patients with brain Bleeding in the basal ganglia in 15 cases, 18 cases of thalamus, outer capsule in 4 cases, 2 cases of cerebral lobe, primary ventricular hemorrhage in 3. Hematoma ruptured lateral ventricle in 12 cases, bilateral lateral ventricle in 9 cases, lateral ventricle and Ⅲ, Ⅳ ventricle in 5 cases. Bleeding amount of 24 ~ 180ml, an average of 69ml. No previous history of renal dysfunction .1.2 clinical manifestations of hyponatremia occurred in 3 ~ 5d after bleeding 27 cases,