高位截瘫并发低钠血症的原因及护理对策  

Cause analysis and nursing strategy for hyponatremia patients with high paraplegia

作　　者：张星丽[1] 郑晓缺[1] 李红菊[1] 赵雪[1] 

机构地区：[1]解放军总医院骨科,北京100853

出　　处：《实用临床医药杂志》2014年第10期104-105,108,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨高位截瘫患者并发低钠血症的相关原因并制定相应的护理对策。方法回顾性分析51例高位截瘫并发低钠血症患者的临床资料,分析低血钠症的危险因素。结果本组51例患者中,2例患者放弃治疗,其余49例患者经过治疗和护理后,血钠水平维持正常。中枢性原因是高位截瘫患者并发低钠血症的主要原因。结论低钠血症在高位截瘫治疗患者中较为常见,护理人员应该针对患者出现低钠血症的原因制订相应护理对策,从早期密切观察生命体征、意识状态、尿量、生化指标变化以及低钠时合理补钠等方面采取相应措施,以降低患者低钠血症发生率,提高患者的生活质量和长期存活率。Objective To investigate cause and nursing strategy for hyponatremia patients with high paraplegia. Methods The materials of 51 high paraplegia patients with hyponatremia and risk factors of hyponatremia were retrospectively analyzed. Results There were 2 patients giving up the treatment and the sodium concentration of 49 patients returned to normal after treat- ment and nursing. Central origin in the spinal cord was the main cause of hyponatremia. Conclusion Hyponatremia is common in patients with high paraplegia. The vital signs, consciousness, urine and biochemical items should be monitored closely. Accurate nursing countermeasures could reduce the occurrence of hyponatremia, improve the life quality and survival rate of patients.

关 键 词：高位截瘫 低钠血症 原因 护理 

分 类 号：R473.5[医药卫生—护理学]