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目的:探讨急性脑卒中并发高钠血症的病因及预后。方法:对32例合并高钠血症患者的入院情况、病变部位、治疗情况及预后等进行分析。结果:高钠血症在急性脑卒中并不少见,特别是重症患者,意识障碍、中线结构功能损害、医源性因素、高血糖症、高热为其发病的主要因素,随着血钠的升高,其死亡率也相应增加。结论:高钠血症是急性脑卒中的严重并发症,为此,积极预防很重要,而及早发现和纠正高钠血症可改善急性脑卒中患者的预后。
Objective: To investigate the etiology and prognosis of acute cerebral apoplexy complicated with hypernatremia. Methods: 32 cases of patients with concomitant hypernatremia admission, lesion location, treatment and prognosis were analyzed. Results: Hypernatremia is not uncommon in acute stroke, especially for critically ill patients, disturbance of consciousness, central nervous system dysfunction, iatrogenic factors, hyperglycemia and hyperthermia. With the increase of serum sodium High, its mortality rate also increased accordingly. Conclusions: Hypernatremia is a serious complication of acute stroke. Therefore, it is very important to actively prevent it. Early detection and correction of hypernatremia can improve the prognosis of acute stroke patients.