CAJ | 학술논문

目的探讨高钠血症对重型颅脑损伤患者预后的影响.方法回顾某院收治重型颅脑损伤356例,并高钠血症185例的临床资料,分析高钠血症与预后的关系.结果重型颅脑损伤并高钠血症185例,发生率为52%,死亡136例,病死率为73.5%.高钠血症在入院1～18 d出现,平均4.1 d.其中69例在24 h内,60例在48 h内,16例在72 h,3 d内出现高钠血症共145例,占78%;血钠值为148～196 mmol/L,平均172 mmol/L,持续时间1～25 d,平均5.4 d.结论高钠血症多在重型颅脑损伤3 d内出现,为中枢神经功能衰竭的标志,死亡率极高.
목적 탐토고납혈증대중형로뇌손상환자예후적영향.방법 회고모원수치중형로뇌손상356례,병고납혈증185례적림상자료,분석고납혈증여예후적관계.결과 중형로뇌손상병고납혈증185례,발생솔위52%,사망136례,병사솔위73.5%.고납혈증재입원1～18 d출현,평균4.1 d.기중69례재24 h내,60례재48 h내,16례재72 h,3 d내출현고납혈증공145례,점78%;혈납치위148～196 mmol/L,평균172 mmol/L,지속시간1～25 d,평균5.4 d.결론 고납혈증다재중형로뇌손상3 d내출현,위중추신경공능쇠갈적표지,사망솔겁고.
Objective To investigate the effect of severe eraniocerebral injury patients with hypernatremia.Methods Review and analysis of 356 cases of severe craniocerebral injury and 185 cases of hypernatremia. Analysis on the relationship between hypernatremia and prognosis. Results The 185 eases of severe craniocerebral injury with hypernatremia, the incidence is 52 %. Including 136 death cases, the mortality rate was 73.5 %. Hypernatremia appeared after admission since 1～18 days,the average days for this were 4.1 days. 69 cases appeare hypernatremia in 24 hours,60 cases in 48 hours,16 cases in 72 hours,145 cases of hypematremia appeared after admission within 3 days,about 78%. Blood sodium level was 148～196mmol/L, average was 172mmol/L, duration time was 1～25 days, average was 5.4 days. Conclusion It seems that almost hypernatremia appeared, when severe crartiocerebral was injuried in 3 days. The mortality is very high.