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目的研究急性脑出血患者并发高钠血症的原因及病死率的相关性。方法回顾性研究180例脑出血患者,其中42例并发高钠血症(血清钠离子浓度>145 mmol/L)者作为研究组,其余138例不伴高钠血症的患者作为对照组。结果研究组死亡34例,病死率81.0%;对照组死亡31例,病死率22.5%。两组比较差异有统计学意义(P<0.01)。结论急性脑出血并发高钠血症的患者病死率明显高于不并发高钠血症者,且与血清钠离子水平呈正相关。
Objective To study the causes and mortality of patients with acute cerebral hemorrhage complicated with hypernatremia. Methods A retrospective study of 180 patients with cerebral hemorrhage, of which 42 patients with hypernatremia (serum sodium ion concentration> 145 mmol / L) as the study group, the remaining 138 patients without hypernatremia as a control group. Results The study group died of 34 cases, the mortality rate was 81.0%; the control group died of 31 cases, the mortality rate was 22.5%. The difference between the two groups was statistically significant (P <0.01). Conclusion The mortality rate of patients with acute cerebral hemorrhage complicated with hypernatremia is significantly higher than that without hypernatremia and positively correlated with serum sodium level.