重型颅脑损伤后的高渗状态临床分析

目的通过了解重型颅脑损伤严重程度,预后与血渗透压的关系,进一步提高对重型颅脑损伤的诊断、治疗水平。方法对83例重型颅脑损伤病人进行血钠、血糖、血渗透压对比分析,通过χ2检验,进行统计学分析。结果重型颅脑损伤中GCS3~5病例比GCS6~8病例高血钠、高血糖、高渗状态发生概率更高,同时,死亡率增加。结论重型颅脑损伤病人病情越严重,高渗状态出现机率越高,并且,一旦并发高钠、高渗、高血糖,患者死亡率明显增高,同时血钠、血糖、血渗透压对颅脑外伤预后判断有一定帮助。

Research of hyperosmolay in severe craniocerebral injuries

Objective To investigate the ralation among the severity,prognosis,and blood osmotic pressure in severe craniocerebral injuries and to improve the level of diagnosis and treatment.Methods To compare the blood sodium,sugar and osmotic pressure of 83 patients suffered from acute severe craniocerberal injuries.The detection results were analysed statistically with X test.Results The occurrence rates of hypermatremia,hyperglycemia and hyperosmolay in group GSC3-5 were higher than those in group GSC6-8.The mortality rate in GSC3-5 increased compared with group GSC6-8.Conclusion The severity of acute severe craniocerebral injuries relates to blood osmotic pressure.The higher the levels of blood sodium,sugar and osmotic pressure,the higher the mortality rate was.These parameters may be as useful indexes for judging the prognosis of patients with acute severe craniocerebral injuries.