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目的探讨脑卒中合并低钠血症的临床病因及治疗特点。方法对15例脑卒中合并低钠血症患者的临床资料进行回顾性分析。结果在15例脑卒中合并低钠血症患者中,轻型(血钠105～130mmol/L)10例,每日间断静滴高渗盐水,临床症状明显缓解;急重症型(血钠85～105mmol/L)5例,早期在微量泵控制下连续缓慢静滴高渗盐水,24小时后间断补钠,临床疗效明显。结论脑卒中合并低钠血症患者,尽早静脉补钠;尤其急重症患者早期微量泵控制连续缓慢静脉补钠,能明显改善患者的预后。
Objective To investigate the clinical etiology and treatment characteristics of stroke with hyponatremia. Methods The clinical data of 15 patients with stroke and hyponatremia were retrospectively analyzed. Results Among the 15 patients with stroke and hyponatremia, 10 patients with mild (serum sodium 105-130 mmol / L) were treated with intravenous infusion of hypertonic saline every day, and the clinical symptoms were relieved. The patients with acute severe type (serum sodium 85 ~ 105 mmol / L) 5 cases, early slow infusion of hypertonic saline under the control of micro-pump slowly, 24 hours after intermittent sodium supplement, the clinical curative effect is obvious. Conclusions Stroke patients with hyponatremia should receive sodium infusion as soon as possible. In particular, patients with acute severe diseases should be controlled by continuous slow intravenous infusion of sodium in the early micropumps, which can significantly improve the prognosis of the patients.