重型颅脑损伤合并抗利尿激素分泌不当综合征的临床特点及护理

The clinical characters and the nursing points of patients with syndrome of inappropriate antidiuretic hormone secretion combined severe craniocerebral injury

目的探讨重型颅脑损伤合并抗利尿激素分泌不当综合征的临床特点及护理原则。方法回顾总结13例重型颅脑损伤合并抗利尿激素分泌不当综合征的临床资料,分析其特点及护理措施。结果重型颅脑损伤合并的抗利尿激素分泌不当综合征多为意识障碍患者,临床上与脑性盐耗综合征有本质区别。结论细心做好家属或陪护人员的解释工作,严格限制液体摄入量,准确测定血钠和24h尿钠,加强皮肤和肢体护理,是此类患者的护理关键。

Objective To study the clinical characters and the nursing points of patients with syndrome of inappropriate antidiuretic hormone secretion combined severe craniocerebral injury. Method Retrospective analyzed the clinical documents of 13 patients with syndrome of inappropriate antidiuretic hormone secretion combined severe craniocerebral injury. Results The most patients with syndrome of inappropriate antidiuretic hormone secretion combined severe craniocerebral injury have disorder of consciousness. There were essential differences between this disease and the syndrome of cerebral hyponatremia Conclusion The key nursing points include： limited the water intake strictly, strengthen the nursing about skin and the limbs and survey the blood sodium and the urine sodium.