摘要
目的探讨重型颅脑损伤伴高钠血症的病因和发病机制及对预后的影响。方法回顾分析28例重症颅脑损伤伴高钠血症患者的临床资料。结果重症颅脑损伤伴高钠血症的患者死亡率达67.86%,发病率为8.56%。发生高钠血症的时间为1周之内,颅脑损伤后72h内出现的10例死亡7例,24h内出现的高钠血症主要与原发性下丘脑损伤有关,而24h后出现的也与使用脱水剂有关。结论重症颅脑损伤出现高钠血症病死率高,且血钠值越高亦死亡率越高。
Objective To investigate the causes and mechanism of hypernatremia and its prognosis in patients with severe craniocerebral injury. Methods The clinical data of 28 severe craniocerebral injury patients with hypernatremia was analyzed retrospectively. Results Mortality rate of severe craniocerebral injury patients with Hypernatremia reach 67.86% ,the disease in- cidence rate was 8.56%. All patients＇ hypernatremia occurred in one week after craniocerebral injury, 10 cases occurred in 72 hours and 7 patients died. In first 24 hours, the hypernatremia was correlated with primary hypothalamus injury, 24 hours later, there was also correlated with the use of dehydration. Conclusions Severe craniocerebral injury patients with hypernatremia have high mortality, the higher level natremia is, the higher mortality patients have.
出处
《中华全科医学》
2008年第9期922-923,共2页
Chinese Journal of General Practice
关键词
重症颅脑损伤
高钠血症
预后
Severe craniocerebral Injury
Hypernatremia
Prognosis
