重症颅脑外伤后脑性盐耗综合征的观察与护理

目的 探讨颅脑外伤后脑性盐耗综合征（CSWS）的观察与护理方法。方法对18例重症颅脑外伤后发生CSWS患者的临床资料进行回顾性分析，观察患者意识变化，监测血钠、尿钠、尿量、尿比重等，并采取相应的护理对策。结果经正确补液、补水2周后，患者血钠、尿钠、尿量、尿比重等逐渐恢复正常，生命体征稳定，意识状态好转。结论通过严密观察患者意识状态，对血钠、尿钠、尿量、尿比重等指标的监测，能提高护士对CSWS的认识，协助早期诊断和治疗，加强护理，减少并发症，提高抢救成功率。

Observation and nursing of cerebral salt wasting syndrome among patients with severe craniocerebral trauma

Objective To explore the method of observation and nursing of cerebral salt wasting syndrome (CSWS) among patients with severe craniocerebral trauma. Methods The data of 18 severe craniocerebral injury cases with CSWS were analyzed retrospectively, patient consciousness changes were observed, blood sodium, urinary sodium, urine volume and urine specific gravity were monitored, and nursing countermeasures were taken out. Results After 2 weeks of fluid infusion, the index, such as blood sodium, urinary sodium, urine volume and urine specific gravity, returned to normal, life signs showed stability, the state of consciousness recovered. Conclusions Through strict observation on patient' s state of consciousness, monitoring blood sodium, urinary sodium, urine volume and urine specific gravity, it is helpful for nurses to improve their understanding of CSWS, assist early diagnosis and treatment, decrease nursing complications and strengthen rescue success.