中国医学创新Issue(35)：128-129,2.DOI:10.3969/j.issn.1674-4985.2012.35.083
ICU内高钠血症病因及治疗效果分析
Analysis the Cause and the Treatment of Hypernatremia in ICU
刘毅君 1邹琼 1肖苑芳1
作者信息
- 1. 广东省惠州市第三人民医院 广东 惠州 516001
- 折叠
摘要
Abstract
Objeective :To analysis the cause and the treatment of hypernatremia in ICU. Method :Select 21 patients with hypernatremia from the total 278 patients treated in the ICU of our hospital from June 2009 to March 2012. Among the 21 selected patients,15 are male and 6 are female, whose age is from 29 to 71 years old. We randomly divide the above patients into observation group and control group,the observation group has 11 patients and the control group has 10. And then compare with two groups and find no big difference between them in condition,age and sex,etc. Our inspection department uses the electrode method to have routine testing on the hypernatremia for all of the patients. If the blood sodium is higher than 148 mmol/L and if this case occurred twice at the same day,then,we can confirm that the patient has been suffered hypernatremia. Then,We only treat the primary disease for the patient in the observation group and don’t correct their hypernatremia issue. While we do the opposite treatment on the patient in control group. Result :The hypernatremia patients get a APACHEII score of(23.8±7.2)at the first day,but the APACEII is reduced to(17.2±8.1)on the second day. In observation group,there are 8 patients cured after treatment while the other 3 patients failed. In the control group,there are 2 patients cured and 8 patients failed. Conclusion :ICU is still immature to treat hypernatremia,therefore,we must give treatment to the patient basing on their actual condition and choose the proper treatment method.关键词
ICU/高钠血症/病因Key words
ICU/Hypernatremia/Cause引用本文复制引用
刘毅君,邹琼,肖苑芳..ICU内高钠血症病因及治疗效果分析[J].中国医学创新,2012,(35):128-129,2.
