CAJ | 학술논문

目的研究脑梗塞后出现高钠高氯血症的临床因素及对策。方法80例符合脑梗塞诊断标准患者，男45例，女35例；年龄35~75岁，格拉斯评分均<12分。以入院时监测血糖、电解质、体温符合标准后分组，分为无合并症组(A组)、发热组(B组)、高血糖组(C组)、使用大剂量甘露醇组(D组)，从使用脱水剂、体温、血糖等方面进行对照研究高钠高氯血症的发生率情况。结果高钠高氯血症发生率为50%，其中高钠高氯血症出现在发热组、高血糖组、使用大剂量脱水药组高于明显无合并症组，而使用大剂量脱水药组又明显高于高热组及高血糖组。结论脑梗塞后的高钠高氯血症的发生原因是多方面的，不但有中枢性原因，也有治疗方面的原因，病死率较高。
목적연구뇌경새후출현고납고록혈증적림상인소급대책。방법80례부합뇌경새진단표준환자，남45례，녀35례；년령35~75세，격랍사평분균<12분。이입원시감측혈당、전해질、체온부합표준후분조，분위무합병증조(A조)、발열조(B조)、고혈당조(C조)、사용대제량감로순조(D조)，종사용탈수제、체온、혈당등방면진행대조연구고납고록혈증적발생솔정황。결과고납고록혈증발생솔위50%，기중고납고록혈증출현재발열조、고혈당조、사용대제량탈수약조고우명현무합병증조，이사용대제량탈수약조우명현고우고열조급고혈당조。결론뇌경새후적고납고록혈증적발생원인시다방면적，불단유중추성원인，야유치료방면적원인，병사솔교고。
Objective: To study the reasons and countermeasure of hyernatremin and hypercloremia after cerebral infarction.Methods: Eighty patients that conform the stands of cerebral infarction. The patients are forty-five males and thirty-five females that whose age is thirty-five to seventy-five years old. And the Glasgow coma score ≤12 points. The patients, glucose, electrolytes and temperature must be normal that can be into the groups. To study on the incidence of situation of hyernatremin and hypercloremia from the respects such as glucose, electrolytes and temperature. Incidence of 50%, in the normal group the incidence of hyernatremin and hypercloremia is lower than the high glucose group, the high temperature group and the use of large does of dehydration drug group. But the use of large does of dehydration drug group’s incidence is higher than temperature group and high glucose group.Results: The causes are many of the hyernatremin and hypercloremia after cerebral infarction, not only central nervous system, but also treatment. And mortality is high.