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报道经CT确诊为脑出血210例中,并发血清钠显著降低的24例患者,占11.4%,血钠为108~130mmol/L,平均114±6mmol/L。临床表现为在脑出血症状基础上出现不同程度的意识障碍加重如躁动、嗜睡、昏睡,心率加快、球结膜水肿等。血钠低的原因与出血部位有关。指出凡基底节区、丘脑出血并破入脑室系统的患者并发血钠降低较多,应注意反复测定血清钠,并及时作适当治疗,能取得良好结果。
Reported by CT confirmed 210 cases of intracerebral hemorrhage, complicated by decreased serum sodium in 24 patients, accounting for 11.4%, serum sodium was 108 ~ 130mmol / L, an average of 114 ± 6mmol / L. Clinical manifestations of cerebral hemorrhage based on the symptoms of varying degrees of disturbance of consciousness such as agitation, lethargy, lethargy, heart rate, conjunctival edema and so on. The reason of low blood sodium is related to the bleeding site. Pointed out that where basal ganglia, thalamic hemorrhage and break into the ventricular system in patients with concurrent decrease in serum sodium should pay attention to repeated measurement of serum sodium, and timely and appropriate treatment, can achieve good results.