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目的 :探讨急性脑卒中时低钠血症的发生情况 ,以提高认识 ,避免误诊。方法 :对同期急性脑卒中住院患者的低钠血症进行回顾性分析。结果 :12 6例患者中 2 1例合并低钠血症 ,其中 11例出现临床表现。血钠 <12 9mmol/L即可产生症状 ,5例曾被误诊为卒中加重。用 3%盐水治疗多数可恢复 ,但严重低钠血症 ,卒中较重者预后不良。结论 :急性脑卒中患者低钠血症发生率较高 ,临床表现更易出现。经常检查血电解质是必要的。
Objective: To investigate the incidence of hyponatremia during acute stroke in order to raise awareness and avoid misdiagnosis. Methods: A retrospective analysis of hyponatremia in hospitalized patients with acute stroke in the same period. RESULTS: Twenty-one of 12 patients with hyponatremia were included, of whom 11 had clinical manifestations. Serum sodium <12 9mmol / L can produce symptoms, 5 cases have been misdiagnosed as stroke. 3% saline treatment of most recoverable, but severe hyponatremia, severe stroke, poor prognosis. Conclusion: The incidence of hyponatremia in patients with acute stroke is high, and clinical manifestations are more likely to occur. Regular examination of blood electrolytes is necessary.