摘要
目的:探讨重型颅脑损伤并发低钠血症的观察及护理。方法:对14例重型颅脑损伤后并发低钠血症的患者的临床数据进行回顾性的分析,总结患者的临床表现和实验室特点,通过密切观察病情,监测尿量、尿比重、血清钠,积极配合治疗并采取相应的护理措施。结果:13例患者水、电解质紊乱得到纠正,1例放弃治疗。结论:重型颅脑损伤并发低钠血症患者的护理应重视病情观察,注意CSWS和SIADHS的区别,早期监测血生化指标,准确记录出入量,掌握好补液、补钠的相关知识,及时纠正水、电解质紊乱,从而提高疗效,取得良好的预后。
Objective： To discuss the observation and nursing on severe cranioeerebral injury combined with hyponatremia. Method： Retrospectively analyzed the clinical data of 14 patients with severe craniocerebral injury combined with hyponatremia, and summarized patients＇ clinical manifestation and laboratory features. Patients were given nursing through the observation of disease conditions and monitoring of urine volume, urine specific gravity and serum sodium. Result： 13 patients＇ hydro--electrolytic dis- order was balanced, and 1 case abondoned treatment. Conclusion： We should pay attention to disease observation, distinguish CSWS and SIADHS, early monitor blood biochemical criterion, correctly record intake and output, master relevant knowledge about fluid infusion and sodium supplemented, and timely correct hydro--electrolytic disorder so as to improve curative effect and achieve good prognosis.
出处
《内蒙古中医药》
2008年第9期50-52,共3页
Inner Mongolia Journal of Traditional Chinese Medicine
关键词
重型颅脑损伤
低钠血症
Severe craniocerebral injury
Hyponatremia
