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目的探讨脑卒中后低钠血症患者临床治疗。方法选择该院2009年5月—2012年1月收治的脑卒中后并发低钠血症的患者40例,对其临床资料进行回顾性分析。结果该研究所选择的40例患者中,SIADH型17例,存活11例,放弃治疗2例,死亡4例。CSWS型23例中存活20例,放弃治疗1例,死亡2例。CSWS型(86.9%)存活率明显高于SIADH型(64.7%),差异有统计学意义(P<0.05)。分别以严重肺部感染、多器官功能衰竭、继发出血、呼吸衰竭为主要死亡原因。结论脑卒中后低钠血症患者依据临床特点行针对性治疗,可显著改善临床效果,提高患者生存质量。
Objective To investigate the clinical treatment of patients with hyponatremia after stroke. Methods Forty patients with hyponatremia after stroke were selected from May 2009 to January 2012 in our hospital. The clinical data of the patients were retrospectively analyzed. Results Of the 40 patients selected in this study, 17 cases of SIADH type survived in 11 cases, two gave up treatment and 4 died. In CSWS type, 23 cases survived in 20 cases, abandoned treatment in 1 case and died in 2 cases. The survival rate of CSWS type (86.9%) was significantly higher than that of SIADH type (64.7%), the difference was statistically significant (P <0.05). Severe pulmonary infection, multiple organ failure, secondary bleeding, respiratory failure as the main cause of death. Conclusions Patients with post-stroke hyponatremia are treated according to their clinical characteristics, which can significantly improve the clinical effect and improve the quality of life of patients.