摘要
目的:探讨重度颅脑损伤并发高钠血症的影响因素及高钠血症对预后的影响。方法:回顾分析复旦大学附属中山医院2009年1月—2011年1月外科重症监护病房收治的57例重度颅脑损伤患者的临床资料。分析患者24h液体出入量和格拉斯哥评分(GCS)对高钠血症的影响及高钠血症对预后的影响。结果:高钠血症组患者的病死率较对照组高,且GCS评分低,24h液体出入量不平衡者出现高钠血症的概率大。结论:高钠血症既是重度颅脑损伤的结果,其会进一步加重颅脑损伤,患者伤情越重、血钠越高,预后越差。
Objective：To investigate the inducing factors of hypernatremia in patients with severe craniocerebral injury and its impact on prognosis of the patients.Methods：Fifty seven cases of severe craniocerebral trauma patients with hypernatremia were retrospectively studied.The level of serum sodium,the 24 hours fluid balance,Glasgow coma score（GCS） and 3days survival rates were recorded and analyzed.Results：Patients with hypernatremia had higher mortality than the control group.Low GCS and fluid imbalance were predictors of hypernatremia.Conclusions：Hypernatremia resulte from cerebral trauma and can worsen the injury.Uncontrolled hypernatremia are related with higher mortality.
出处
《中国临床医学》
2011年第3期325-326,共2页
Chinese Journal of Clinical Medicine
关键词
重型颅脑损伤
高钠血症
预后
Severe craniocerebral injury
Hypenatremia
Prognosis
