摘要
目的分析ICU患者发生高钠血症的原因以及治疗效果。方法选择我院2013年6月-2016年5月ICU内发生高钠血症的患者96例为研究对象,回顾性分析其原发病、治疗方案等临床资料,对其病因和治疗效果进行观察分析。结果 96例ICU内高钠血症患者中,分析其病因最多见的是血容量不足（25例,占26.04%）,其次是氯化钠、碳酸氢钠输入过多（15例,占15.63%）。本组患者在治疗前后的血钠水平、心率、呼吸、平均动脉压、血氧饱和度指标均存在统计学差异（P〈0.01）。结论 ICU患者发生高钠血症的原因最多见于血容量不足和氯化钠、碳酸氢钠输入过多;针对其原发病,及时采取有效的治疗方案,能明显纠正高血钠,改善患者生命体征,有积极的临床意义。
Objective To analyze the causes and therapeutic effects of ICU in patients with hyponatremia. Methods In our hospital from June 2013 to May 2016 in ICU occurred hypernatremia patients 96 cases as the object of study, retrospective analysis of the clinical data of the primary disease, treatment options and on its etiology and treatment effect of observation and analysis. Results 96 patients in the intensive care unit（ICU） high sodium in patients with hyperlipidemia, analyze the cause of the most common is the shortage of blood volume（25 cases, accounting for 26.04%）, followed by sodium chloride, sodium bicarbonate input（15 cases, 15.63%）. The blood sodium level, heart rate, respiration, mean arterial pressure and blood oxygen saturationwere statistically significant difference before and after treatment（P〈0.01）. Conclusions ICU patients occurred hypernatremia is seen most frequently in blood volume and sodium chloride, sodium bicarbonate input too much; according to the primary disease, to take timely and effective treatment, obvious correct hypernatremia, improve patients＇ vital signs, and has positive clinical significance.
出处
《中国继续医学教育》
2016年第23期81-82,共2页
China Continuing Medical Education
