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目的 探讨颅脑外伤并发低钠血症患者的观察护理.方法 回顾性分析42例颅脑损伤并发低钠血症病例,通过正确合理补液和口服或鼻饲盐水,动态监测血钠的变化.结果 患者血清钠均小于130 mmol/L,尿钠大于20 mmol/L.经正确的补钠治疗和全面的护理,均在2周左右得到纠正.结论 密切观察患者意识、生命体征,监测血清钠,有助于低钠血症的早期诊断和治疗,强调低钠血症患者的全面护理,可降低病残率和病死率.

Objective To invastigate the observation and fluid infusion nursing of hyponatremia following head injury. Methods To retrospectively analysis 42 cases of head injury complicated with hyponatremia,through correct reasonable fluid infusion and oral adninistration or nasal feeding salt water, continously monitoring blood serum natrium change. Results In these 42 patients, blood serum natrium is less than 130 mmol/l,urine natrium is more than 20 mnol/L just after head injury. Through correct administration of sodium, the patient blood serum natrium changed to nornal. Conclusion Closely observe the patients consciousness, vital signs, monitorring blood serum natrium change, are helpful to diagnose and treat hyponatremia. Emphasize the overall nursing of the patients, can decrease the nortality and morbidity .