急性颈髓损伤后低钠血症的治疗及相关因素分析

目的 探讨急性颈髓损伤后低钠血症的治疗及相关因素。方法 回顾性分析1998～2004年收治的112例急性颈髓损伤患者临床资料，探讨其治疗方法，并对可能影响低钠血症的相关因素进行统计学分析。结果 本组急性颈髓损伤后低钠血症的发生率为79．4％，其发生与脊髓损伤程度、损伤平面、是否有并发症等有关。结论 在治疗脊髓损伤同时，应注意低钠血症发生的相关因素，做到早发现、早治疗；根据不同低钠血症原因，采取不同方法治疗。

Hyponatremia after acute cervical spinal cord injury:a review report

Objective To investingate the relevant factors and therapy to hyponatremia after acute cervical spinal cord injury.?Methods 112 in-patients with acute spinal cord injury from 1998 to 2004 were retrospectively analyzed.?Results 89 of 112 inpatients were found to show hyponatremia,with a rate of prevalence of 79.4%.The hyponatremia was relevant to the level of cord injury,presence of complications and trauma in the head (P<0.05),especially the the severity of cord injury (P<0.01);but was not related with gender,age or the use of auxiliary device of respiration (P>0.05).?Conclusion In dealing with spinal cord injuries, enough attention should be paid to the possibly involved hyponatremia, monitoring water-sodium metabolism and taking appopriate measures early to secure the vital water-salt equilibrium.