重度烧伤并高钠血症的临床治疗观察

Clinical observation of the severe burns and hypernatremia

目的：探讨重度烧伤患者并发高钠血症的临床特征,为更好地治疗重度烧伤患者以及其预后提供基础。方法：对2007年6月~2010年10月本院接收的78例重度烧伤患者的血钠值进行测定,并统计分析烧伤情况与血钠值、患者感染、肾功能以及治疗结果直接的关系。结果：78例重度烧伤患者有75例血钠值高于正常水平;患者的烧伤面积越大,血钠值越高,越易被感染,肾功能较易被损害,治疗情况较差。结论：电解质水平尤其是血钠水平的变化是重度烧伤患者常见的症状,对重度烧伤患者进行临床治疗时应兼顾电解质水平的变化。

Objective： To investigate patients with severe burns complicated by hypernatremia clinical features for better treatment of severe burn patients and provide the basis for their prognosis. Methods： From June 2007 to October 2010, our hospital received 78 cases of severe burn patients serum sodium were measured and statistical analyszed of the situation and the serum sodium burns patients infection, renal function and directly related to treatment outcome. Results： 78 patients with severe burn patients, 75 cases higher than normal serum sodium levels; patients with larger burns, higher serum sodium, more susceptible to infection, renal damage was easier, treatment was poor. Conclusion： Electrolytes, especially sodium levels in patients with severe burns are common symptoms of severe burns should take into account the clinical treatment of patients with changes in electrolyte levels.