高血压脑出血合并高钠血症78例临床分析.docVIP

精品论文 参考文献 高血压脑出血合并高钠血症78例临床分析 李平1 杨福兵2 杨晓滨1 　　（1.四川省宜宾市第一人民医院神经外科 四川 宜宾 644000；2.泸州医学院附属医院神经外科 四川 泸州 646000） 　　【摘 要】目的：探讨高血压脑出血合并高钠血症的诱因，发生机理，与出血部位的关系及防治。方法：收集2008年3月-2010年3月共收治78例高血压脑出血患者血清钠高钠gt;145mmol/L，观察出血部位，针对各种诱因，综合治疗。结果：78例中，轻度者纠正时间短，中度者次之，重度者最长，高钠血症为多因素诱发，与预后密切相关，特别是重度者，有较高死亡率。结论：高血压合并高钠血症是多因素综合影响所致，需多种措施综合防治，且血钠水平越高持续时间越久，预后越差，需及时干预。 　　【关键词】高血压脑出血；高钠血症；防治 　　【中图分类号】R544.1 【文献标识码】B 【文章编号】1004-6194（2015）01-0079-02 　　Clinical analysis of 78 cases of hypertensive intracerebral hemorrhage patients combined with hypernatremia 　　Li ping1 Fubing Yang2 Xiaobin Yang1 　　Department of Neurosurgery ,the first people hospital of YiBin in Si Chuan Province，YiBin 644000，China 　　【Abstract】Objective：To investigate risk factors, Pathogenesis , relationship with the location of bleeding and prevention in hypertensive intracerebral hemorrhage patients combined with hypernatremia. Method：78 cases of hypertensive cerebral hemorrhage patients with serum sodium gt; 145mmol / L were collected from March 2008 to March 2010, observed the location of bleeding. For a variety of risk factors, treated by comprehensive treatment. Result：Among 78 cases of HIGH patients combined with hypernatremia , short time required to correct mild , moderate , followed by severe were the longest,to induce hypernatremia for multiple factors , closely related to prognosis, Especially severe hypernatremia have a higher mortality. Conclusion：hypertensive intracerebral hemorrhage patients combined with hypernatremia is caused by multiple factors , need a variety of comprehensive prevention , prognosis of HIGH patients combined with hypernatremia is worse with the increasing of serum sodium and longer of duration，take measures to correct hypematremia as early as possible. 　　【Keywords】hypertensive intracerebral hemorrhage hypematremia prevention 　　高血压脑出血(Hypertensive intracerebral hemorrhage,HIGH)是脑血管疾病中病死率和致残率很高的一种疾病，由于患者年龄大，病情危重，机体代偿能力差，并发症多。电解质紊乱是脑出血的重要并发症之一，临床以低血钠、低血钾较为常见，而高血钠较少见。为探讨高血