论文部分内容阅读
低钠血症是颅脑损伤、颅脑肿瘤及术后、蛛网膜下腔出血等急性中枢神经系统疾病最常见的代谢紊乱,发生率达10％～34％。除大量补液、使用激素和脱水利尿剂等医源性原因外,非医源性原因主要由抗利尿激素分泌异常综合征(syndrome of inappropriate secrete of antidiuretic hormone,SIADH)和脑性盐耗综合征(cerebral salt wasting syndrome,CSWS)引起。为探讨 CSWS 在急性脑血管病中的发生、发展规律及影响因素,对近年来我院收治的各种急性脑血管病患者518例进行顺序跟踪观察,其中36例并发 CSWS。一、临床资料1.一般资料:2000年10月至2004年9月,起病后1～2 d 收住我院的各种急性脑血管病患者518例,均符合1995年全国第4届脑血管病学术会议修订的脑血管疾病诊断要
Hyponatremia is the most common metabolic disorder of craniocerebral injury, brain tumor and postoperative, subarachnoid hemorrhage and other acute central nervous system diseases, the incidence rate of 10% to 34%. Except for a number of iatrogenic causes such as massive rehydration, use of hormones and dehydration diuretics, non-iatrogenic causes are mainly caused by the syndrome of inappropriate secrete of antidiuretic hormone (SIADH) and brain salt-depletion syndrome ( Cerebral salt wasting syndrome, CSWS). In order to investigate the occurrence, development and influencing factors of CSWS in acute cerebrovascular disease, 518 consecutive patients with acute cerebrovascular disease admitted in our hospital were followed up in sequence, of which 36 cases were complicated by CSWS. First, the clinical data 1. General information: October 2000 to September 2004, 1 to 2 days after admission admitted to our hospital a variety of acute cerebrovascular disease in 518 cases, are in line with the 1995 National 4th brain Angiographic Conference revised the diagnosis of cerebrovascular disease