血清低钠低氯对病毒性脑炎的诊断价值

目的观察病毒性脑炎急性期血清钠、氟浓度的改变及其临床意义。方法选择我院收治的病毒性脑炎患者120例，另选同期健康人120例，对两组观察对象血清钾、钠、氯浓度进行动态监测。结果病毒性脑炎组血清钾正常，88例（73％）患者血清钠、氯水平明显下降，32例（27％）患者血清电解质正常。病毒性脑炎重症组与轻症组钠、氯水平间差异有统计学意义（P〈0．05）。结论成人病毒性脑炎急性期大部分存在低钠、低氯血症，低钠、低氯与患者病情轻重相关，动态监测血清钾钠氯有助于病毒性脑炎的诊断和鉴别诊断以及病情轻重和预后估计。

Dynamic Measurement of Serum Concentration of Potassium Sodium Chlorine Increases the Ability of Viral Encephalitis Diagnosis and Different Diagnosis

Objective Observing adult acute viral encephalitis serum concentration of sodium chlorine and its clinical significance. Methods Testing 80 viral encephalitis patients with dynamic detection concentration of serum sodium chlorine. Results The probability of occurring low sodium and lod chlorine in the viral encephalitis is significantly higher than the one in control group （0. 05）, All of these patients, generally, have higher yield rate than control group. Conclusion During adult acute viral encephalitis, generally, the a lot of patrient is accompanying with obvious low sodium low chlorine, and The viral encephalitis has a positive relationship with the condition of patient. Thus dynamic sodium chlorine increases the ability of viral encephalitis diagnosis and different diagnosis .