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目的 :探讨缺血性脑卒中并发低钙血症的机制及临床意义。方法 :回顾性分析 10 2 8例缺血性脑卒中临床及血清钙资料。结果 :10 2 8例中并发低钙血症者 14例 ,发生率为 1.36 % ,以病灶部位为基底节区者发生率最高 (6 .87% ,P <0 .0 5 ) ;发生低钙血症者神经精神症状以潜在型手足抽搦为主 (5 7.14 % ,P <0 .0 1) ;并发低钙血症者较血清钙正常者病死率为高 (P <0 .0 5 )。结论 :下丘脑 -垂体 -肾上腺皮质轴功能紊乱是引起缺血性脑卒中并发低钙血症的主要原因之一。
Objective: To investigate the mechanism and clinical significance of ischemic stroke complicated with hypocalcemia. Methods: A retrospective analysis of 1028 cases of ischemic stroke clinical and serum calcium data. Results: Of the 108 cases with hypocalcemia in 14 cases, the incidence was 1.36%, with the highest incidence of lesions as the basal ganglia (6. 87%, P <0. 05); the occurrence of low calcium The neuropsychiatric symptoms of sepsis were mainly potential hand-foot-pump (5.114%, P <0.01). The mortality of patients with hypocalcemia was significantly higher than that of normal serum calcium (P <0.05) . Conclusion: Hypothalamus - pituitary - adrenal axis dysfunction is one of the main causes of ischemic stroke complicated with hypocalcemia.