Burn and hypernatremia
孙志刚 王京媛 郭树忠
摘 要：目的:探讨烧伤后高钠血症的发病原因病因、临床特点和治疗措施.方法:对有关文献进行总结分析.结果:烧伤高钠血症具有病死率高、发病率与烧伤面积呈正相关和伴有明显的中枢神经系统损伤的症状等特点.其发病与和严重的水钠失调,中枢神经系统损伤和严重感染有关,还可能与钠库的存在有关.严格的限制钠摄入、血液透析和坏死组织切除是有效的治疗方法.结论:烧伤高钠血症的预后凶险,治疗困难,临床上必须引起足够的重视.
关键词：烧伤;高钠血症;病因
分类号：R644 文献标识码：A
文章编号：1001-0726(2003)03-0238-05
作者简介：孙志刚(1963- ),男(汉族),天津人,1986年毕业于第三军医大学医疗系,现从事烧伤整形专业,副主任医师.
作者单位：孙志刚（白求恩国际和平医院烧伤整形科,河北,石家庄,050082）
王京媛（白求恩国际和平医院烧伤整形科,河北,石家庄,050082）
郭树忠（第四军医大学西京医院整形科,陕西,西安,710032）
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