论文部分内容阅读
目的:探讨脑出血急性期血浆渗透压变化频率对预后的影响。方法:通过对250例急性脑出血患者的回顾性分析,计算24小时内、第7天内的血浆渗透压值,并分析血浆渗透压与死亡率的关系。结果:脑出血急性期24小时内与第7天,低血浆渗透压发生率分别为3.2%(8/250)和10.8%(27/250);高血浆渗透压发生率分别为0(0/250)和6.8%(17/250)。低血浆渗透压患者与高血浆渗透压患者的死亡率分别为5.7%(2/35)和88.2%(15/17)。结论:①脑出血患者低血浆渗透压发生率高于高血浆渗透压发生率;②脑出血发生高血浆渗透压为濒危信号。
Objective: To investigate the influence of the frequency of plasma osmolality on prognosis in acute cerebral hemorrhage. Methods: Based on a retrospective analysis of 250 patients with acute cerebral hemorrhage, the values of plasma osmolality within 24 hours and 7 days were calculated and the relationship between plasma osmotic pressure and mortality was analyzed. Results: The incidence of low plasma osmolality was 3.2% (8/250) and 10.8% (27/250) respectively in 24 hours and 7 days after acute cerebral hemorrhage. The incidence of high plasma osmolality was 0 (0 / 250) and 6.8% (17/250). Mortality rates in patients with low plasma osmolarity and those with high plasma osmolarity were 5.7% (2/35) and 88.2% (15/17), respectively. Conclusions: ①The incidence of low plasma osmolarity in patients with intracerebral hemorrhage is higher than that of high plasma osmolarity; ② The high plasma osmolarity in intracerebral hemorrhage is an endangered signal.