Acute hemorrhagic cerebrovascular disease, and clinical analysis of hyponatremia_3139文档.docVIP

Acute hemorrhagic cerebrovascular disease, and clinical analysis of hyponatremia   Key words hyponatremia  牋牋 Abstract: Objective: To summarize the acute hemorrhagic cerebrovascular disease and the incidence of hyponatremia and to speculate on the mechanism of its occurrence. Methods: Retrospective analysis of hospital summed up in 2003 to 2004 hospital 327 cases of acute hemorrhagic cerebrovascular disease and the incidence of hyponatremia and clinical features. Results: 52 cases of hyponatremia (15.9%), in which cerebral salt wasting syndrome in 11 cases (accounting for 3.36%), syndrome of inappropriate antidiuretic hormone secretion in 7 cases (2.1%). Hyponatremia in patients after 2.0 ?1 day, the general continued to 11 ?3 Tian. Conclusions: Hyponatremia is a complication of acute hemorrhagic cerebrovascular disease, one of the longer duration, its pathogenesis may be related to cerebral salt wasting syndrome, syndrome of inappropriate secretion of antidiuretic hormone related.  牋牋 Keywords: hyponatremia; cerebral salt wasting syndrome; syndrome of inappropriate antidiuretic hormone secretion  牋牋 A clinical data  牋牋 1.1 General Information of this group of 327 cases (male 259 cases, female 68 cases), age 18 to 80 years, mean 46 years old. There were 293 cases of hypertension, diabetes and a history of 91 cases. Patients were selected within the course of the day and to head CT diagnosis of hemorrhagic cerebrovascular disease. One of 266 cases of cerebral hemorrhage, subarachnoid hemorrhage in 61 cases. All patients in both the lack of interest and history of renal function decompensation, non-digestive tract diseases, and repeated the history of hyponatremia.  牋牋 1.2 Methods All patients admitted to an immediate investigation in order to electrode sodium, urine sodium and urine specific gravity measurements, and began to remember a 24-hour access to water. Before the discovery of hyponatremia are 20% mannitol 125ml