论文部分内容阅读
高钠血症,是重度烧伤后比较少见的并发症,是由于烧伤后水电解质平衡紊乱而引起的.一般认为血钠超过160mmol/L即有生命危险.笔者用中西医结合方法治疗血钠高达190mmol/L的重度烧伤患者1例,疗效满意,现介绍如下.郭某,男,18岁.住院号:3601.不慎被沸水烫伤全身,总面积达80%,外用“涂膜剂”、全身应用抗生素、大量补液及抗休克等治疗4天(具体用药不详),病情加重,故来我院.查体温37.8℃,P106次/min,R24次/min,血压16/10kPa.病情危重,一般情况差,心悸,神昏谵语,发热,烦躁.初步诊断:热力烧伤80%,Ⅲ度烧伤5%.给予清创,外涂磺胺嘧啶银糊,暴露灯烤,以保护创面,保持创面清洁,大量补液,以纠正水电解质平衡紊乱,全身静点抗生素以预防控制感染.急查血生化回报:血钠160mmol/L,
Hypernatremia, a rare complication after severe burn, is due to the imbalance of water and electrolyte after burn, which is generally believed that more than 160mmol / L of serum sodium is life-threatening.I use traditional Chinese and Western medicine treatment of serum sodium up to 190mmol / L patients with severe burn in 1 case, the effect is satisfactory, are described as follows.Guo Mou, male, 18 years old.Admission number: 3601. Inadvertently burned by boiling water, the total area of 80%, topical “coating agent” The body temperature of 37.8 ℃, P106 times / min, R24 times / min, blood pressure 16 / 10kPa. The condition of critically ill patients, General conditions are poor, palpitations, coma, fever, irritability.A preliminary diagnosis: 80% of thermal burn, 5% of third degree burn.Get debridement, topical sulfadiazine silver paste, exposed lamp roasted to protect the wound to keep the wound clean , A large number of rehydration, to correct the water and electrolyte balance disorders, systemic antibiotics to prevent infection control static check blood biochemical return: sodium 160mmol / L,