PROGNOSTIC SIGNIFICANCE OF WATER AND ELECTROLYTE DISORDERS IN THE ACUTE PERIOD OF SEVERE ISCHEMIC STROKE.

Anesteziologiia i reanimatologiia Pub Date : 2016-11-01
A N Chirkov, V I Ershov
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Abstract

The aim: to study and identify the impact of the osmolarity blood plasma level on outcomes atherothrombotic ischemic stroke, and cardioembolic subtype.

Materials and methods: The study included 150 patients with severe ischemic stroke pathogenesis of diferent subtypes. We studied the effect of the of the osmolarity bloodplasma level in the first dayfrom the disease beginning to ischemic stroke prognosis.

Results: it is shown that the prognosisfor severe ischemic stroke pathogenesis of different subtypes of the first day disease is unfavorable to the level of blood plasma osmolality 297 mOsml. This cardioembolic ischemic strokes pathogenic subtypes are more severe course and worse prognosis.

Conclusion: the osmolarity of blood plasma is an independent predictor of adverse outcome for ischemic stroke pathogenesis of different subtypes.

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严重缺血性脑卒中急性期水电解质紊乱对预后的影响。
目的:研究和确定血浆渗透压水平对动脉粥样硬化性血栓性缺血性卒中结局和心脏栓塞亚型的影响。材料与方法:研究对象为150例不同亚型的重症缺血性脑卒中发病机制患者。我们研究了发病第一天血浆渗透压水平对缺血性脑卒中预后的影响。结果:不同亚型的重症缺血性脑卒中发病机制与血浆渗透压297 mOsml水平对预后不利。这种心栓塞性缺血性中风的致病亚型病程较重,预后较差。结论:血浆渗透压是不同亚型缺血性脑卒中发病机制不良结局的独立预测因子。
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