脑外伤后电解质监测与治疗临床分析.docVIP

脑外伤后电解质监测与治疗临床分析 　　DOI：10.16662/j.cnki.1674-0742.2016.32.036 　　[摘要] 目的 探讨脑外伤后电解质检测与治疗的有效性。方法 随机将方便选取的2010年5月―2016年6月该院收治的62例脑外伤患者均分为实验组和对照组，两组患者分别在手术治疗基础上加用高渗盐水（7.5%）和生理盐水（0.9%）。检测两组患者治疗前后血浆钠、钾、氯浓度变化，观察两组患者颅内压水平。结果 治疗后，实验组血清钠（139.7±4.8）mmol/L，血清氯（104.4±5.3）mmol/L，平均颅内压（1.74±0.6）kPa，各项指标均优于对照组（P0.05）。 结论 脑外伤后的电解质检测与治疗可帮助纠正机体电解质紊乱，降低颅内高压，有利于疾病治疗及患者康复，值得推广使用。 　　[关键词] 脑外伤；电解质；监测；高渗盐水；渗透压 　　[中图分类号] R651 [文献标识码] A [文章编号] 1674-0742（2016）11（b）-0036-03 　　Electrolyte Monitoring after Traumatic Brain Injury with Clinical Observation of Treatment 　　YANG Ping-lai，ZHOU Li-tian，XUE Yuan-feng 　　Department of Cerebral Surgery， Peoples Hospital of Lishui District， Nanjing ， Jiangsu Province， 211200 China 　　[Abstract] Objective To explore the effectiveness of the detection and treatment of electrolytes after brain injury. Methods Convenient selection 62 cases of traumatic brain injury were divided into the experimental group and the control group randomly from May 2010 to June 2016. Two groups of patients were treated with hypertonic saline（7.5%） and saline（0.9%） on the basis of surgical treatment. The changes of plasma sodium， potassium and chloride concentrations were detected in the two groups before and after treatment， The level of intracranial pressure in two groups were observed. Results After treatment， the experimental group serum sodium （139.7 ± 4.8） mmol/L， serum chlorine （104.4 ± 5.3） mmol/L， the average intracranial pressure （1.74 ± 0.6） kPa， the indicators are better than the control group（P 0.05）. Conclusion Detection and treatment of brain injury after brain injury can help to correct the body electrolyte disorder， reduce intracranial hypertension， is conducive to disease treatment and rehabilitation of patients， it is worth to promote the use of. 　　[Key words] Brain injury； Electrolyte； Monitoring； Hypertonic saline； Osmotic pressure 　　?B内高压是脑外伤患者常见症状，多由脑挫裂伤引起脑水肿或并发颅内血肿所致，可引起头痛、呕吐、视力障碍等症，重者可诱发脑疝，威胁生命。快速有效降低颅内高压是临床治疗脑外伤疾病的重要环节，对减少继发性损伤、降低死亡率、改善预后具有重要意义。有报道指