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目的分析探究急性出血性脑血管病并低钠血症发生率进和临床特点。方法回顾总结本院收治的132例急性出血性脑血管病患者并低钠血症发生率及临床特点。结果 19例并低钠血症患者者(占14.4%),其中2例抗利尿激素的分泌不适当综合征(占1.5%),4例脑性耗盐综合征(占3.0%)。低钠血症在发病后(2.2±1.1)d开始,通常持续(11.3±3.4)d。结论低钠血症作为急性出血性脑血管病的并发症之一,其发生的机理可能和抗利尿激素的分泌不适当综合征、脑耗盐综合征有关。
Objective To investigate the incidence and clinical characteristics of acute hemorrhagic cerebrovascular disease and hyponatremia. Methods A retrospective review of 132 patients with acute hemorrhagic cerebrovascular disease admitted to our hospital and the incidence of hyponatremia and clinical features. Results Nineteen patients (14.4%) had hyponatremia, two of them had inappropriate secretion of vasopressin syndrome (1.5%), and four patients had cerebellar salt-causing syndrome (3.0%). Hyponatremia began at onset (2.2 ± 1.1) d and usually lasts (11.3 ± 3.4) days. Conclusions Hyponatremia is one of the complication of acute hemorrhagic cerebrovascular disease. The mechanism of hyponatremia may be related to the inappropriate syndrome of vasopressin secretion and the brain damage salt syndrome.