The Correlation Between Ion Level And Surgery In Patients With Intracerebral Hemorrhage And Its Clinical Significance

Objective:To investigate the correlation between serum ion and surgery in patients who have intracerebral hemorrhage and the clinical significance.Methods:The serum values of K⁺,Na⁺,Ca²⁺,Mg²⁺,inorganic phosphorus and hematoma volume at admission（computed from head CT）were collected and then analyzed in 219patients with intracerebral hemorrhage（77 patients with operation and 142 patients without operation）at admission and review,preoperative and postoperative.Results:The frequency of K⁺and Na⁺disorder after surgical operation was much lower than that after conservative treatment in basal ganglia intracerebral hemorrhage.Pearson correlation analysis exhibited that the consistence of Ca²⁺,Mg²⁺and inorganic phosphorus was negatively related to hematoma volume,and the consistence of inorganic phosphorus group was the strongest.There was a multivariate linear correlation between hematoma volume and serum calcium and phosphorus by multiple stepwise linear regression analysis.Conclusion:Operative treatment of basal ganglia cerebral hemorrhage can enhance the condition of patients by abating potassium and sodium disorder.The lower the serum Ca²⁺,P and Mg²⁺concentration is,the greater the hematoma volume is.The uniting of serum calcium and phosphorus can be applied as an index to prognosis hematoma volume.