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临床输血与检验

临床输血与检验 ›› 2017, Vol. 19 ›› Issue (1): 82-85.DOI: 10.3969/j.issn.1671-2587.2017.01.023

• 临床检验 • 上一篇    下一篇

钠离子水平在重症脑卒中合并急性肾损伤患者中的临床意义

卢月月, 谢琼, 易宏锋   

  1. 434000 湖北省荆州市第一人民医院消化内科
  • 收稿日期:2016-09-28 出版日期:2017-02-20 发布日期:2017-03-02
  • 通讯作者: 易宏锋,男,湖北襄阳人,主治医师,学士,主要从事消化内科临床工作,（Tel）0716-8114055。
  • 作者简介:卢月月 （1981-）,女,湖北荆州人,主治医师,硕士,主要从事消化内科临床工作,（E-mail）lyyjzyy@163.com。

Prognostic Significance of Serum Sodium Detection in the Patients with Severe Stroke Combined with Acute Kidney Injury

LU Yue -yue, XIE Qiong, YI Hong-feng   

  1. The First Renminhospital,Jingzhou,Hubei Province,434000
  • Received:2016-09-28 Online:2017-02-20 Published:2017-03-02

PDF

627

被引次数

4

摘要： 目的 探索钠离子水平在重症脑卒中合并急性肾损伤（AKI）患者中的临床意义。方法 选取在本院进行重症脑卒中治疗的（2012年1月~2014年12月）300例患者,从入院开始检测患者在不同时段的电解质和肾功能,并进行APACHEⅡ评定,经相关分析后采取对症治疗。结果 300例患者中有60例患者并发高钠血症,占20.0%;有AKI的44例,占14.67%。60例高钠血症患者中,急性脑梗死18例,急性脑出血32例,蛛网膜下腔出血10例;APACHEⅡ评定分数为（24.5±6.4）分;AKI有17例,占28.33%,血钠浓度越高发生可能性越高。结论 在重症脑卒中合并急性肾损伤患者中,产生高钠血症一般在病后3~7 d;若高钠血症在脑卒中发病后7 d前后,其治疗效果差,死亡可能性高。

关键词: 钠离子水平, 脑卒中, 急性肾损伤

Abstract: Objective To explore the significance of sodium levels in evaluation of prognosis of patients with severe stroke combined with acute kidney injury （AKI）. Method Electrolytes and renal function of different periods after hospitalization were detected in 300 patients with severe strokefrom Jan.2012.1 to Dec.2014. with,The patients were scored with APACHEⅡ,followed by administration of the symptomatic treatments. Results Sixty of 300 patients were found to present high hyponatremia ,accounting for 20.0%; 44 （14.67%）cases had AKI,Eighteen of 60 high hyponatremia patients revealed acute cerebral infarction,32 had acute cerebral hemorrhage,and 10 possessed subarachnoid hemorrhage. The average measurement score of APACHEⅡ was （24.5 ± 6.4）; AKI was noted in 17 cases（28.33%）,The high serum sodium concentration was in parallel with the high frequencies of AKI occurrence. Conclusion In patients with severe stroke combined with acute renal injury,hypernatremia usually happens 3-7 days after the disease. A high sodium level which occurs 7 days after disease may indicate a poor consequence of treatment and a high mortality

Key words: Sodium ion levels, Stroke, Acute kidney injury

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