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目的:探讨脑出血并发低钠血症的主要症状、特点、预后情况。方法:选取2012年8月~2014年10月之间我院收治的脑出血患者254例,其中并发低钠血症者54例,设为观察组,其余200例设为对照组,回顾性分析两组的临床资料,比较其意识障碍情况与死亡率。结果:在254例脑出血患者中,共54例并发低钠血症,发病率为21.26%,对照组患者中昏迷6例,昏迷发生率为3.0%,观察组患者昏迷19例,昏迷发生率为35.19%,远大于对照组,P<0.05,差异显著,具有统计学意义;对照组共7例患者死亡,死亡率为3.5%,观察组共16例患者死亡,死亡率为29.63%,远大于对照组,P<0.05,差异显著,具有统计学意义。结论:脑出血患者一旦并发低钠血症,很可能发生昏迷,甚至死亡,预后效果差,需要在早期积极给予对症治疗,降低死亡率。
Objective: To investigate the main symptoms, characteristics and prognosis of cerebral hemorrhage complicated with hyponatremia. Methods: A total of 254 patients with ICH admitted to our hospital between August 2012 and October 2014 were enrolled. Among them, 54 patients with hyponatremia were treated as observation group and the remaining 200 patients as control group. Retrospective analysis The clinical data of two groups were compared with those of unconsciousness and mortality. Results: Of the 254 patients with cerebral hemorrhage, 54 cases were complicated with hyponatremia, the incidence was 21.26%. In the control group, 6 patients were in coma and the coma was 3.0%. Coma was observed in 19 patients in the observation group and the incidence of coma Was 35.19%, much larger than the control group, P <0.05, significant difference was statistically significant; control group a total of 7 patients died, the mortality rate was 3.5%, the observation group, a total of 16 patients died, the mortality rate was 29.63% In the control group, P <0.05, the difference was significant, with statistical significance. Conclusion: Once complicated with hyponatremia, cerebral hemorrhage patients may be in a coma or even death with poor prognosis. In the early stage, symptomatic treatment should be actively given to reduce the mortality rate.