【摘要】 目的观察限水治疗和积极的补液补钠治疗两种不同方案对急性颈髓损伤后低钠血症的治疗效果。方法将18例入住ICU的急性颈髓损伤后发生低钠血症的患者随机分为限水组(Ⅰ组)和积极补液补钠组(Ⅱ组),观察治疗24h后血清钠、尿钠、尿量、收缩压、舒张压的变化。结果A组低钠血症未见明显纠正,而B组血清钠均有不同程度的提高,81.2%的病人血钠能达到正常范围。结论积极补液补钠方案能较有效地纠正急性颈髓损伤后的低钠血症。更多还原

【Abstract】 [Objective] To investigate the effect of two kinds of treatments to hyponatremia after acute cervical spinal cord injury. [Methods] Eighteen patie nts were randomly divided into two groups: groupⅠ was treated by fluid restrict ion; group Ⅱ was done by positive administering water and sodium. The changes o f serum sodium, sodium in urine, the volume of urine, systolic blood pressure an d diastolic blood pressure were then measured after 24 hours’ treatment. [Resul ts] The hyponatremia of groupⅠ were not evidently rectified, but serum sodium of group Ⅱwere improved in some degrees. The serum sodium of 81.2% patients cou ld get to normal range. [Conclusions] Hyponatremia after acute cervical spinal cord injury can be effectively corrected by positive administering water and so dium.更多还原