急性颈髓损伤并发低钠血症16例临床分析.doc

急性颈髓损伤并发低钠血症 16 例临床分析刘云龙,汪勇安徽省淮北矿工总医院 ICU 235000 [ 摘要] 目的探讨急性颈髓损伤后低钠血症的临床特点、发病机制和有效治疗方法。方法回顾性分析 2008 年1 月~ 2011 年8 月收治的急性颈髓损伤后低钠血症患者 16 例的临床资料。结果 16 例中男 15例,女1例, 年龄 17~ 46 岁,平均 岁。其中高位颈髓(C4 及 C4 以上) 损伤 4例,低位颈髓(C4 以下) 损伤 12 例。平均出现低钠血症时间为伤后( ± )d ,出现低钠高峰时间为伤后( ± )d ,低钠持续时间( ± )d ,最低血清钠浓度为( ± )mmol/L 。所有患者均给予深静脉插管以补液及行中心静脉压监测, 经限水、补钠等治疗后 14 例患者低钠血症纠正,2 例患者自动出院。结论颈髓损伤并发低钠血症原因是多方面的, 通过严密监测患者血钠并维持钠代谢正平衡可纠正患者的低钠血症, 并改善低钠血症引起的临床症状。[ 关键词] 颈椎;脊髓损伤;低钠血症 A clinical analysis of hyponatremia in 16 patients with acute cervical spinal cord injury LIU Yun-long , WANG Yong Department of Intensive Care Unit , Huaibei Miners General Hospital. Anhui , Huaibei 235000 , China [Abstract] Objective To investingate the clinical characteristics , pathogenesis and therapy of Hyponatremia after acute cervical spinal cord injury. Methods The 16 patients with hyponatremia after acute cervical spinal cord injury from January 2008 to August 2011 were retrospectively analyzed. Results The 16 patients included 15 male and 1 female aged 17 to 46 years with a average age of . Of4 patients with injury to C4 and above , 12 patients with injury to below mean time of hyponatremia occurrence was ( ± )days after injury. Hyponatremia occurred mostly ( ± )days following injury with duration of ( ± )days. The lowest level of serum sodium was ( ± )mmol/L.