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目的:观察分析颈椎骨折伴随脊髓损伤患者电解质紊乱的基本机制以及临床护理特点。方法:将2013年1月~2015年1月期间,住院部所收治的脊椎骨折合并脊髓损伤患者共计30例作为研究对象。对本组30例患者临床资料进行回顾分析,观察患者在入院后电解质紊乱的发生时间以及具体表现,检测患者血清钠、血清氯、血清钙、以及血清钾的取值情况。结果:本组30例患者在入院后2~10d内出现电解质紊乱表现,平均时间为(5.6±0.9)d。电解质紊乱具体表现方面,低钠血症、低氯血症发生率明显高于低钙血症以及低钾血症发生率,对比有显著差异,具有统计学意义(P<0.05)。结论:颈椎骨折伴脊髓损伤患者的电解质紊乱以低钠血症、低氯血症最为常见,掌握电解质紊乱机制发生规律,实施针对性护理,是控制环节患者病情的重要途径。
Objective: To observe and analyze the basic mechanism of electrolyte imbalance in patients with cervical spine fracture accompanying with spinal cord injury and the characteristics of clinical nursing. Methods: From January 2013 to January 2015, a total of 30 patients with spinal fractures and spinal cord injuries admitted to the Inpatient Department were enrolled. The clinical data of 30 patients in this group were retrospectively analyzed to observe the time of occurrence of electrolyte imbalance and the specific manifestation of the patients after admission. The serum sodium, serum chlorine, serum calcium and serum potassium were detected. Results: Electrolytes were found in 30 patients within 2 ~ 10 days after admission. The mean time was (5.6 ± 0.9) d. Electrolyte disorders in terms of specific performance, hyponatremia, hypochlorosis incidence was significantly higher than the incidence of hypocalcemia and hypokalemia, compared with significant differences, with statistical significance (P <0.05). Conclusion: Electrolyte disorder in patients with cervical spine fracture and spinal cord injury is the most common hyponatremia and hypochlorosis. It is important to understand the mechanism of electrolyte imbalance mechanism and to carry out targeted nursing. It is an important way to control the condition of patients.