颅脑外伤并发脑性盐耗综合征38例临床护理  

Clinical nursing care of 38 cases of salt-wasting syndrome after cerebral injury

作　　者：陈悦[1] 

机构地区：[1]南通市中医院,江苏南通226001

出　　处：《齐鲁护理杂志（下半月刊）（外科护理）》2008年第11期14-15,共2页Journal of Qilu Nursing

摘　　要：目的:探讨颅脑外伤后并发脑性盐耗综合征(CSW S)患者的观察与护理方法。方法:对38例颅脑外伤后发生CSW S患者的临床资料进行回顾性分析。观察患者意识变化,监测尿量、尿比重、血清钠、血浆渗透压、尿钠、红细胞压积及中心静脉压(CVP),并探讨相应的护理对策。结果:所有病例均出现血清钠<130mmol/L,血浆渗透压>270mOsm/kg,尿钠>80mmol/d,红细胞压积>0.5,CVP<6 cmH2O。经补钠补水治疗,患者均在2周左右恢复正常。结论:通过观察患者意识状态的变化和对尿量、血钠、血浆渗透压、尿钠、红细胞压积、CVP的监测,有助于CSW S的早期诊断和治疗,通过加强对患者饮食和气道等护理,可促进患者早日康复。Objective： To discuss the observation and nursing care in the treatment of CSWS. Methods： Retrospective analysis was made of the clinical data of 38 patients with salt-wasting syndrome after cerebral injury. The observation was made on amount of urine, urinary gravity and CVP, etc. so as to find nursing measures. Results： Na 〈 130mmol/L, plasma osmolality 〈 270mOsm/kg, urinary sodium 〉 80mmol/d, hematocrit 〉 0.5 and CVP 〈 6cmH2O were found in all the cases and the patients recovered after supplying of soudium and liquid within 2 weeks. Conclusion： Close observation on patients condition is very effective in early dignosis and treatment. Nursing care in diet and airway can promote patient＇ s recovery.

关 键 词：颅脑外伤 脑性盐耗综合征 护理 

分 类 号：R473.6[医药卫生—护理学]