蛛网膜下腔出血合并低钠血症临床特点分析  

Analysis of Clinical Characteristics of Patients with Hyponatraemia after Subarachnoid Haemorrhage

作　　者：潘金保[1] 顾国鑫 王东[1] 

机构地区：[1]湖南省岳阳市第二人民医院神经内科,湖南岳阳414000

出　　处：《医学临床研究》2009年第5期822-824,共3页Journal of Clinical Research

摘　　要：【目的】探讨蛛网膜下腔出血（SAH）合并低钠血症的临床特点。【方法】对61例SAH并低钠血症患者的临床资料、治疗及转归进行分析。【结果1184例急性SAH患者于发病2d后发现低钠血症（61例），其中26例血钠水平121-130mmol／L，28例111-120mmol／L，7例≤110mmol／L。11例病人为脑性盐耗综合征，7例病人为抗利尿激素分泌异常综合征。【结论】低钠血症是SAH的常见并发症，由脑性盐耗综合征和抗利尿激素分泌异常综合征所致者分别为18．0％和11．5％。临床上应予以重视并及时治疗。[Objective] To explore the clinical characteristics of the patients with hyponatraemia after subarachnoid haemorrhage. [Methods] The clinical data of patients with hyponatraemia after subarachnoid haemorrhage and the therapeutic effects were analyzed. [Results] Hyponatraemia was found in 61 cases out of 184 patients with subarachnoid haemorrhage. Twenty six patients had mild hyponatraemia and the level of natrium was 121-130mmol/L. Twenty eight patients had medium hyponatraemia and the level of natrium was 111-120mmol/L. Seven patients had severe hyponatraemia and the level of natriurn was lower than the level of 110mmol/L. Eleven patients with hyponatraemia were caused by cerebral salt wasting syndrome （CSWS） and seven patients with hyponatraemia were caused by syndrome of inappropriate secretion of antidiuretic hormone （SIADH）. [Conclusion] Hyponatraemia is the common complication of subarachnoid haemorrhage. The percentages of CSWS and SIADH leading to hyponatraemia in the patients with subarachnoid haemorrhage are ] 8. 0 % and 11. 5 % , respectively.

关 键 词：蛛网膜下腔出血/并发症 低钠血症/并发症 

分 类 号：R743.350.5[医药卫生—神经病学与精神病学]