摘要
目的 探讨烧伤患者并发高钠血症的原因及其防治措施。 方法 将 2 8例并发高钠血症的烧伤患者按是否发生脓毒症分为感染组和非感染组 ,比较两组的病因、临床特点及治疗结果。结果 非感染组高钠血症发生在伤后 3.1d,其主要诱因是早期复苏不当 ,主要表现为精神兴奋 ;血糖、血尿素氮明显低于感染组 (P <0.0 1),治愈率为 94 .12 %。感染组高钠血症发生在伤后 7.2d,其主要诱因是严重感染 ,主要表现为精神抑郁 ,治愈率为 9.0 9%。 结论 区别不同原因所致的高钠血症并采取相应防治措施 ,可降低患者死亡率。
Objective To explore the pathogenesis and the management of hypernatremia in burn patients. Methods Twenty eight burn patients with hypernatremia were enrolled in the study and were divided into infection and non-infection groups. The pathogenesis, clinical features, biochemical indices in blood, the therapeutic results and the prognosis were compared between the two groups. Results In non-infection group, the hypernatremia was mainly induced by improper fluid resuscitation and occurred on the 3.1 postburn day(PBD), while that in the infected group, on 7.2 PBD. The patients in non-infected group exhibited much more excited and the blood levels of glucose and urea nitrogen(BUN) were obviously decreased when compared with those in the infected group(P<0.01). The survival rate in non-infected and infected group were 94.12% and 9.09%, respectively. Conclusion The mortality rate of the patients with hypernatremia could be lowered by means of taking optimal measures according to the different patterns of hypernatremia.
出处
《中华烧伤杂志》
CAS
CSCD
2004年第1期40-42,共3页
Chinese Journal of Burns
