| 重度颅脑损伤伴高钠血症诊疗分析 |
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| 引用本文： | 李海山,诸杜明. 重度颅脑损伤伴高钠血症诊疗分析[J]. 中国临床医学, 2011, 18(3): 325-326 |
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| 作者姓名： | 李海山 诸杜明 |
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| 作者单位： | 1. 安徽省合肥市第二人民医院急诊科,安徽合肥,230011
2. 复旦大学附属中山医院外科监护病房,上海,200032 |
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| 摘 要： | 目的：探讨重度颅脑损伤并发高钠血症的影响因素及高钠血症对预后的影响。方法：回顾分析复旦大学附属中山医院2009年1月—2011年1月外科重症监护病房收治的57例重度颅脑损伤患者的临床资料。分析患者24h液体出入量和格拉斯哥评分（GCS）对高钠血症的影响及高钠血症对预后的影响。结果：高钠血症组患者的病死率较对照组高,且GCS评分低,24h液体出入量不平衡者出现高钠血症的概率大。结论：高钠血症既是重度颅脑损伤的结果,其会进一步加重颅脑损伤,患者伤情越重、血钠越高,预后越差。
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| 关 键 词： | 重型颅脑损伤 高钠血症 预后 |
Clinical Analysis of Severe Craniocerebral Injury with Hypentnatremia |
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| LI Haishan,ZHU Duming. Clinical Analysis of Severe Craniocerebral Injury with Hypentnatremia[J]. Chinese Journal Of Clinical Medicine, 2011, 18(3): 325-326 |
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| Authors: | LI Haishan ZHU Duming |
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| Affiliation: | LI Haishan1 ZHU Duming2 1.Department of Emergency,the 2nd People's Hospital of Hefei City in Anhui Province,Hefei 230011,China,2.Department of SICU,Zhongshan Hospital,Fudan University,Shanghai 200032 |
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| Abstract: | Objective:To investigate the inducing factors of hypernatremia in patients with severe craniocerebral injury and its impact on prognosis of the patients.Methods:Fifty seven cases of severe craniocerebral trauma patients with hypernatremia were retrospectively studied.The level of serum sodium,the 24 hours fluid balance,Glasgow coma score(GCS) and 3days survival rates were recorded and analyzed.Results:Patients with hypernatremia had higher mortality than the control group.Low GCS and fluid imbalance were pr... |
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| Keywords: | Severe craniocerebral injury Hypenatremia Prognosis |
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