PDF(Pubmed)
Abstract：
Electrolyte abnormalities are common in acute stroke patients and have a substantial impact on the course and prognosis of the disease. Electrolyte imbalances such as hyponatremia, hypokalemia, hypocalcemia, hypomagnesemia, and phosphate abnormalities are frequently seen in this patient population. The incidence, root causes, and medical ramifications of electrolyte abnormalities in acute stroke patients are investigated in this comprehensive study. According to our research, hyponatremia is the most prevalent electrolyte imbalance. The most common reason for hyponatremia in stroke patients is the syndrome of inappropriate antidiuretic hormone secretion (SIADH). Higher mortality rates, longer hospital admissions, and less favorable functional outcomes are all linked to hyponatremia. Acute stroke patients also typically experience hypokalemia, which affects the severity of the stroke and the recovery of functional abilities. The review furthermore emphasizes the incidence and clinical consequences of hypercalcemia, hypomagnesemia, hypophosphatemia, and hypocalcemia in patients with acute stroke. The results highlight the significance of early electrolyte imbalance detection and treatment in acute stroke patients. To better comprehend therapeutic approaches, evaluate their influence on stroke outcomes, and analyze prognostic implications, more research is required.
摘要：
电解质异常在急性中风患者中很常见，对疾病的病程和预后有重大影响。电解质失衡，如低钠血症，低钾血症,低钙血症,低镁血症,和磷酸盐异常常见于该患者人群。发病率，根本原因，在这项综合研究中，研究了急性中风患者电解质异常的医学后果。根据我们的研究,低钠血症是最常见的电解质失衡。中风患者低钠血症的最常见原因是抗利尿激素分泌不当综合征（SIADH）。死亡率较高,住院时间更长，和较差的功能结局都与低钠血症有关。急性中风患者通常也会出现低钾血症，影响中风的严重程度和功能能力的恢复。该综述进一步强调了高钙血症的发生率和临床后果，低镁血症,低磷酸盐血症,急性中风患者的低钙血症。结果突出了早期电解质失衡检测和治疗在急性脑卒中患者中的意义。为了更好地理解治疗方法，评估它们对卒中结局的影响，并分析预后影响，需要更多的研究。
