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重症颅脑损伤患者低钠血症的护理 被引量:1

Nursing strategy for hyponatremia patients with serious craniocerebral trauma
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摘要 目的总结重症颅脑损伤患者并发低钠血症的护理措施,以及时科学纠正低钠血症。方法对重症颅脑损伤患者严密观察意识及血容量相关体征变化,给予高渗盐溶液及限制液体入量等措施纠正不同原因所致低钠血症。结果重症颅脑损伤并发低钠血症有两种病因,抗利尿激素分泌不当及脑性耗盐综合征,均给予高渗盐溶液输注,抗利尿激素分泌不当患者同时限制液体入量,所有患者均能在1周左右纠正低钠血症。结论重症颅脑损伤患者易于并发低钠血症,应根据不同的病因给予不同的护理措施。 Objective: To investigate different nursing measures to cure hyponatremia accurately and timely.Methods: Consciousness and blood volume sign variations were observed,then hypertonic saline solution was transfused or fluid transfusion was restricted.Results: There were two reason leading to hyponatremia: syndrome of inappropriate antidiuretic hormone and cerebral salt wasting syndrome,all patients were given hypertonic saline solution transfusion,and at the same time the solution transfusion volume to SIADH patients was restricted and all patients were cured in 1 week.Conclusion: Patients of serious craniocerebral trauma are likely to be complicated with hyponatremia,different nursing measures should be given according to different causes.
出处 《泰山医学院学报》 CAS 2012年第3期212-213,共2页 Journal of Taishan Medical College
关键词 重症颅脑损伤 低钠血症 护理 serious craniocerebral trauma hyponatremia nursing
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