摘要
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1～18d出现，平均4，1d。其中69例在24h内，60例在48h内，16例在72h，3d内出现高钠血症共145例，占78％；血钠值为148～196mmol／L，平均172mmol／L，持续时间1～25d，平均5．4d。结论高钠血症多在重型颅脑损伤3d内出现，为中枢神经功能衰竭的标志，死亡率极高。
Objective To investigate the effect of severe craniocerebral 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 cases 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 hypernatremia 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 craniocerebral was injuried in 3 days. The mortality is very high.
出处
《中国基层医药》
CAS
2008年第6期897-898,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
颅脑损伤
高钠血症
预后
Craniocerebral trauma
Hypematermia
Prognosis
