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延迟性脑缺血是动脉瘤致蛛网膜下腔出血(SH)后的主要并发症,可能发病因素是尿排钠过多和低钠血症引起的血浆容量减少。有报道血浆扩容后脑缺血症状和体征可部份或完全逆转。本文研究盐皮质激素醋酸氟氢可的松对 SH 病人的钠平衡、液体平衡和血浆容量的作用。
Delayed cerebral ischemia is the main complication after aneurysm-induced subarachnoid hemorrhage (SH). The possible pathogenesis is the decrease of plasma volume caused by hyperuricemia and hyponatremia. It has been reported after plasma volume expansion cerebral ischemic symptoms and signs may be partially or completely reversed. This article studies the effect of mineralocorticoate fludrocortisone acetate on sodium balance, fluid balance, and plasma volume in SH patients.