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本文观察昏迷与非昏迷两组急性脑血管病患者的血Na~+、K~+、Cl离子。昏迷组患者入院后应用脱水剂治疗,每日平均入量1500ml,平均出量2000～2500ml,该组患者未予鼻饲。非昏迷对照组亦应用脱水剂治疗,能正常进食。入院治疗3天后查两组患者血离子。结果 昏迷组的血Na~+,K~+,Cl均低于对照组,均P<0.01,有显著差异。原因系应用脱水剂脱水,补充液体量不足,尤其晶体溶液不足,电解质出多入少,造成电解质平衡失调,这无疑加重患者病情,促进死亡。在治疗中应避免和及时纠正患者的电解质平衡失调,以降低死亡率。
This article observed the coma and non-coma patients with acute cerebrovascular disease Na ~ +, K ~ +, Cl ions. Coma patients admitted to the hospital after the application of dehydration therapy, the average daily intake of 1500ml, the average output of 2000 ~ 2500ml, the group was not nasal feeding. Non-coma control group also applied dehydration therapy, can eat normally. 3 days after admission, check the two groups of patients blood. Results The levels of Na ~ +, K ~ + and Cl in the coma were all lower than those in the control group (P <0.01). There was a significant difference. The reason is the use of dehydration agent dehydration, lack of liquid supplement, especially the lack of crystal solution, electrolytes out more into less, resulting in electrolyte imbalance, which undoubtedly aggravate the patient’s condition and promote death. In treatment should be to avoid and promptly correct electrolyte imbalance in patients in order to reduce mortality.