CAJ | 학술논문

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。
목적：탐토고위절탄환자병발저납혈증적상관원인병제정상응적호리대책。방법회고성분석51례고위절탄병발저납혈증환자적림상자료，분석저혈납증적위험인소。결과본조51례환자중，2례환자방기치료，기여49례환자경과치료화호리후，혈납수평유지정상。중추성원인시고위절탄환자병발저납혈증적주요원인。결론저납혈증재고위절탄치료환자중교위상견，호리인원응해침대환자출현저납혈증적원인제정상응호리대책，종조기밀절관찰생명체정、의식상태、뇨량、생화지표변화이급저납시합리보납등방면채취상응조시，이강저환자저납혈증발생솔，제고환자적생활질량화장기존활솔。
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.