CAJ | 학술논문

[目的]探讨重型脑损伤(SBI)患者出现高钠血症的原因、发生机制并对预后进行分析.[方法]选择本院2009年1月至2012年1月收治的42例 SBI 患者,其中出现高钠血症的患者作为高钠血症组(19例),其余的患者(23例)作为非高钠血症对照组,比较两组患者的病死率及 GCS 评分.[结果]高钠血症组患者病死率为84.2%;对照组为17.4%,两组比较差异有显著性( P <0.05);而高钠血症患者 GCS 评分越低,其高钠血症的发生率越高( P <0.05).[结论]对 SBI 出现高钠血症的患者应当密切监测其血钠浓度,早期发现并及时调整水电解质平衡,对改善预后具有重要意义.
[목적]탐토중형뇌손상(SBI)환자출현고납혈증적원인、발생궤제병대예후진행분석.[방법]선택본원2009년1월지2012년1월수치적42례 SBI 환자,기중출현고납혈증적환자작위고납혈증조(19례),기여적환자(23례)작위비고납혈증대조조,비교량조환자적병사솔급 GCS 평분.[결과]고납혈증조환자병사솔위84.2%;대조조위17.4%,량조비교차이유현저성( P <0.05);이고납혈증환자 GCS 평분월저,기고납혈증적발생솔월고( P <0.05).[결론]대 SBI 출현고납혈증적환자응당밀절감측기혈납농도,조기발현병급시조정수전해질평형,대개선예후구유중요의의.
Objective] To explore the cause ,pathogenesis and prognosis of severe brain injury patients with hypernatremia .[Methods] A total of 42 patients with severe brain injury admitted to our hospital form Jan .2009 to Jan .2012 were selected .Patients complicated with hypernatremia were chosen as hypernatremia group( n = 19) ,and the other patients( n = 23) were chosen as non‐hypernatremia group .The mortality and GCS scores were compared between two groups .[Results]The mortality of hypernatremia group was 84 .2% , while that of non‐hypernatremia group was 17 .4% .There was significant difference between two groups ( P <0 .05) .The lower the GCS score ,the higher the incidence of hypernatremia .There was negative correlation between them .[Conclusion] Serum sodium concentration of severe brain injury patients with hypernatremia should be monitored closely .Early detection and timely adjustments of water and electrolyte balance is of great significance to improve the prognosis .