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目的探讨高血压性脑出血并发高钠血症的临床治疗效果。方法 370例脑出血患者中并发高钠血症65例,65例并发高钠血症患者在停用渗透性利尿剂及糖皮质激素的基础上,采用综合治疗方案。结果经积极治疗与护理后,370例患者病死率为7.7%。结论高血压性脑出血容易并发水钠代谢紊乱,要根据不同的原因进行对症处理。积极监测血电解质、血糖,预防感染及上消化道出血,预防继发活动性脑出血,提高治疗效果,可提高患者的生活质量。
Objective To investigate the clinical effect of hypertensive intracerebral hemorrhage complicated with hypernatremia. Methods A total of 370 cases of cerebral hemorrhage in patients with hypernatremia in 65 cases, 65 cases of patients with hypernatremia in the disabled osmotic diuretics and glucocorticoid, based on the comprehensive treatment. Results After active treatment and care, the mortality rate of 370 patients was 7.7%. Conclusion Hypertensive intracerebral hemorrhage prone to water and sodium metabolism disorders, according to different reasons for symptomatic treatment. Active monitoring of blood electrolytes, blood sugar, prevention of infection and upper gastrointestinal bleeding, prevention of secondary active cerebral hemorrhage, improve the therapeutic effect, can improve the quality of life of patients.