CAJ | 학술논문

目的：探讨CRRT治疗对颅脑创伤及脑出血继发严重高钠血症患者预后的差异性影响。方法：回顾性分析笔者所在医院2007年1月-2011年8月因颅脑创伤(n=36)以及脑出血(n=17)继发严重高钠血症而行CRRT治疗患者的临床资料，以GOS作为预后评估指标，比较两组患者预后的差异。结果：两组患者GOS评分比较，差异有统计学意义(P<0.05)。结论：本组研究结果显示，对于病程中继发严重高钠血症的颅脑创伤以及脑出血患者，CRRT的治疗效果以脑出血患者为优，提示CRRT在脑出血继发严重高钠血症患者的治疗中可能具有更高的应用价值。
목적：탐토CRRT치료대로뇌창상급뇌출혈계발엄중고납혈증환자예후적차이성영향。방법：회고성분석필자소재의원2007년1월-2011년8월인로뇌창상(n=36)이급뇌출혈(n=17)계발엄중고납혈증이행CRRT치료환자적림상자료，이GOS작위예후평고지표，비교량조환자예후적차이。결과：량조환자GOS평분비교，차이유통계학의의(P<0.05)。결론：본조연구결과현시，대우병정중계발엄중고납혈증적로뇌창상이급뇌출혈환자，CRRT적치료효과이뇌출혈환자위우，제시CRRT재뇌출혈계발엄중고납혈증환자적치료중가능구유경고적응용개치。
Objective:To investigate the different effects of CRRT on prognosis for patients with hypernatremia secondary to head trauma and cerebral hemorrhage.Method:To retrospectively analyze the clinical data of patients with hypernatremia secondary to head trauma(n=36) and cerebral hemorrhage(n=17) in our hospital from January 2007 to August 2011. The prognosis of patients with the head trauma group and the cerebral hemorrhage group was compared according to the score of GOS.Result:GOS scores in the two groups had significantly difference(P<0.05).Conclusion:In our study,we found that patients with hypernatremia secondary to cerebral hemorrhage treated by CRRT seemed like to have better prognosis than the ones with head trauma,which tipped CRRT in the treatment of patients with cerebral hemorrhage secondary to severe hypernatremia may has a higher application value.