摘要
目的:对ICU内高钠血症病因及治疗效果进行分析。方法:选取本院ICU于2009年6月-2012年3月收治的278例患者中出现高钠血症患者21例。随机分为观察组和对照组,观察组11例,治疗组10例,比较两组患者的病情、年龄、性别等基础因素。结果:高钠血症患者在病发当天的APACHEII得分为(23.8±7.2)分,较其入院次日APACHEII得分(17.2±8.1)分有显著的提高;观察组患者经治疗,8例有效,3例无效;对照组患者经治疗2例有效,8例无效。结论:ICU内对高钠血症的治疗尚不成熟,因此在治疗中必须以实际病情为依据,谨慎选择合适的治疗手段。
Objeective ： To analysis the cause and the treatment of hypernatremia in ICU. Method ： Select 21 patients with hypernatremia from lhe total 278 patients Ireated in the ICU of our hospital from June 2009 to March 2012. Among the 21 selected patients, 15 are male and 6 are female, whose age is from 29 to 71 years old. We randomly divide the above patients into observation group and control group, the observation group has 11 patients and the control group has 10. And then compare with two groups and find no big difference between them in condition, age and sex, etc. Our inspection departmem uses Ihe electrode method to have routine testing on the hypernatremia for all of the patients, ff the blood sodium is higher than 148 mmol/L and if this case o~ ~ arred twice at I.he same day, then, we can confirm that the patient has been suffered hypernatremia. Then, We only treat the primary disease for the patient in the observation group and don＇t correct their hypernatremia issue. While we do the opposite treatment on the patient in control group. Result ： The hypernatremia patients get a APACHEII score of （ 23.8 ±7.2 ） at the first day, but the APACEII is reduced to （ 17.2±8.1 ） on the second day. In ,observation group, there are 8 patients cured after treatment while the other 3 patients failed. In the control group, there are 2 patients cured and 8 patients failed. Conclusion ： ICU is still immature to treat hypernatremia, therefore, we must give treatment to the patient basing on their actual condition and choose the proper treatment method.
出处
《中国医学创新》
CAS
2012年第35期128-129,共2页
Medical Innovation of China
