急性重型颅脑损伤并发高钠血症的时间相关性探讨  

Analysis of the temporal characteristics about severe brain injury with hypernatremia

作　　者：史良[1] 富壮[1] 阎涛[1] 张佳新[1] 

机构地区：[1]北京积水潭医院,100035

出　　处：《山西医药杂志（上半月）》2010年第11期1007-1009,共3页Shanxi Medical Journal

摘　　要：目的探讨急性重型颅脑损伤后并发高钠血症患者,血清钠离子时间相关性特征及其变化规律。方法回顾分析了22例急性重型颅脑损伤并发高钠血症的病例,对高钠血症的首发时间、持续时间、达峰时间、血清钠离子浓度变化及预后进行了分析。结果高钠血症首发时间、持续时间、达峰时间及血清钠离子浓度变化的分析结果体现了一定的规律性,且并发高钠血症后死亡、重残率达55%。结论高钠血症各个时间相关性特征变化都具明显的规律性和临床意义,在临床诊疗过程中应加以鉴别和及时处理,期待能明显改善此类患者的预后。Objective To discuss the temporal characteristics of severe brain injury patients with hypernatremia.Methods The data of the temporal characteristics of 22 severe brain injury patients with hypernatremia were retrospectively analyzed and the relationship between the temporal characteristics was investigated.Results All temporal characteristics of severe brain injury patients with hypernatremia have remarkable correlation,and the fatality rate was 55%.Conclusion The temporal characteristics of severe brain injury patients with hypernatremia are important for the clinic therapy,and we must pay attention to them and deal with them to improve the prognosis.

关 键 词：脑损伤 高钠血症 回顾性研究 

分 类 号：R651.15[医药卫生—外科学]