Lebedev A A
Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(6):857-62.
In 100 patients with different forms of cerebral strokes the author studied the general water content. Its distribution in the organism. Na and K concentration in the plasma and erythrocytes and the general electrolyte content in spaces of the body. It was established that the most frequent syndromes of water-electrolyte disorders in the acute period of strokes is intracellular or general hydratation (81%). In parenchymatous-subarachnoidal hemorrhages the general dehydratation was combined with a hyperhydratation of the extracellular space, while in sichemic strokes there was an anhydridemia up to 10-18 days. A disturbance of the electrolyte metabolism was also expressed in a transmineralization with a drop of the general Na and K content due to intracellular losses. The K deficit was averagely 29% and the Na--15.5% and should be taken into consideration in a substitutive hydro-electrolyte therapy. Solutions with an increased K content should be used in order to compensate its deficit.
作者研究了100例不同类型脑卒患者的总体含水量、其在机体中的分布、血浆和红细胞中的钠和钾浓度以及体内各腔隙的总电解质含量。结果表明，脑卒中急性期最常见的水电解质紊乱综合征是细胞内或全身性水合作用（81%）。在实质-蛛网膜下腔出血中，全身性脱水与细胞外间隙的水合作用增强同时存在，而在缺血性脑卒中中，直至10 - 18天会出现无酸血症。电解质代谢紊乱还表现为转矿质作用，由于细胞内丢失导致总体钠和钾含量下降。钾缺乏平均为29%，钠缺乏为15.5%，在替代水电解质治疗中应予以考虑。应使用钾含量增加的溶液以弥补其缺乏。
