严重烧伤并高钠血症的发生原因及对策  

Causes for and management of severe burn complicated with hypernatremia

作　　者：吴祖煌[1] 刘敏[1] 黄春霞[1] 占新华[1] 

机构地区：[1]解放军第95医院,福建莆田351100

出　　处：《临床误诊误治》2004年第6期388-389,共2页Clinical Misdiagnosis & Mistherapy

摘　　要：目的探讨提高高钠血症治愈率的有效途径。方法对我院 1994年 1月～ 2 0 0 3年 7月收治的 12例大面积烧伤所致高钠血症的原因与防治措施进行分析。结果高钠血症发生的主要原因依次为感染性因素、水分补充不足 ,钠盐摄入过多、肾功能损害、高渗性利尿。结论树立早期预防观念 ,防治脓毒血症 ,及时纠正高钠血症 ,应用血仿膜血液透析疗法 ,监测血钠。Objective To explore the methods for improving cure rate of hypernatremia in patients with severe burn. Methods We analysed the causes for,treatment and preventive managements of hypernatremia in 12 patients with severe burn hospitalzed from January,1994 to July,2003. Results The causal factors for hypernatremia in sever burn were summarized as following catergories:infectious,5 cases;deficienccy of fluid replacement,4 cases;excess of sodium salt intake,1 case;impairment of renal function,1 case;hyperosmotic diruresis,1 case. Conclusions It was suggested that the following generalized managements should be taken in order to improve the cure rate of hypernatremia;concept of early prevention and treatment;prevention and treatment of pyemia,correction of hypernatremia,application of imitative membrane blood dialysis,mornitoring of blood and urine sodium.

关 键 词：烧伤 高钠血症 并发症 预防措施 

分 类 号：R644[医药卫生—外科学] R589.4[医药卫生—临床医学]