监护病房高钠血症发生的危险因素和防治  

Risk factors and prevention of hypernatremia in intensive care unit.

作　　者：高岩[1] 王洪亮[1] 于凯江[1] 赵鸣雁[1] 费东升[1] 安群[1] 

机构地区：[1]哈尔滨医科大学第一临床医学院,icu150001

出　　处：《中国综合临床》2002年第10期922-923,共2页Clinical Medicine of China

摘　　要：目的探讨监护病房高钠血症发生的可能危险因素及防治措施。方法回顾分析 43例患者的临床及辅助检查资料。结果监护病房内神经系统疾病患者发生高钠血症的比例约为 2 7.1% ,住院时间越长发生高血钠的比例越高。其发生主要与临床高渗脱水剂的应用、意识障碍、中枢病变部位及伴发的高热、高血糖有关。结论高钠血症是监护室常见并发症 ,应重视并对各种危险因素加以预防。Objective To investigate the risk factors of hypernatremia in intensive care unit and its prevention.Methods In 198 cases with nerve system disease from our intensive care unit,43 were found with hypernatremia,whose data were retrospectively analyzed in order to investigate the possible risk factors and treatment.Results The proportion of hypernatremia in nerve system disease in intensive care unit was 27.1%.The longer hospitalization led to higher proportion of hypernatremia.The main risk factors for hypernatremia were found to be associated with the clinical use of dehydrant,impaired mental status,the site of central nerve system lesion as well as complicated fever and hyperglycemia.Conclusion Hypernatremia is common in intensive care unit so more attention should be paid to all risk factors and prevention as well.

关 键 词：高钠血症 监护病房 危险因素 防治 

分 类 号：R589.4[医药卫生—内分泌]