论文部分内容阅读
目的：探讨大面积烧伤患者持续性高钠高氯产生的原因及防治措施；动态监测大面积烧伤后血清Na＋，Cl－的临床意义。方法：回顾性分析了7例严重烧伤后持续性高Na＋高Cl－和61例严重烧伤后非持续性高Na＋，高Cl－患者的临床特点。结果：7例严重烧伤后持续高Na＋，高Cl－患者均有严重侵袭性感染；且高Na＋出现愈早，上升愈快，则感染愈重，愈后愈差。结论：1.烧伤后持续性高Na＋，高Cl－产生的原因是严重侵袭性感染。2.动态监测血清Na＋Cl－对感染的评价及抗感染效果有积极意义。3.预防措施包括平稳渡过休克，保护创面，避免长途转运。治疗上一旦出现持续性高钠高氯，除对症治疗外，根本措施是创面处理及抗感染。“,”Objective: To investigate the cause persistent high level of sodium and chloride ions in serum and methods for its prevention and treatment. The clinical significance of dynamic monitoring of serum sodium and chloride ion levels in severe burn patients. Method: To make a review of 7 cases with persistent high serum sodium and chloride ion levels and 61 cases without. Results: All of the severe cases had invasive infection. The earlier the presence of high serum sodium and chloride ion levels, the more dangerous the case. Conclusion: 1. Persistent high serum sodium and chloride ion levels is caused by invasive infection. 2. Dynamic monitoring of serum sodium and chloride ion levels is of great clinical significance. 3. Prevention measures include: to tide over shock stage, to protect burn wounds, to avoid long distance transfer. 4. Treating measures include careful management of burn wounds, anti-infection and expectant treatment.