基于电解质变化预测外伤性脑损伤患者的最终预后

D. Raj, P. Arora, J. Sharma, Puneet Malik, A. Aggarwal
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摘要

目的与目的:根据脑外伤患者的电解质变化预测其最终预后。材料与方法:以医院为基础的前瞻性横断面研究。这项研究在我们研究所进行了18个月。本研究包括所有通过急诊和门诊就诊的无多发创伤的外伤性脑损伤患者。本研究排除了合并糖尿病、高血压、甲状腺紊乱、多发创伤等并发症的患者。观察与结果:我们观察到在入院时、24小时、4天、8天、12天和16天记录的TBI后钠、钾和氯化物水平有显著差异。低钠血症、低钾血症、低氯血症与患者预后呈正相关。结论:外伤性颅脑损伤后电解质失衡是患者监护中需要注意的重要原因。钠、钾和氯化物是主要关注的电解质。血清钙、磷酸盐水平也有显著变化。
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To Prognosticate the Final Outcome in a Traumatic Brain Injury Patient based on their Electrolyte Changes
electrolyte Aims & Objective : To prognosticate the final out come in a traumatic brain injury patient based on there electrolyte changes. Material & Method : A Hospital based Prospective type Cross Sectional Study . The study was conducted over a period of 18 month In our institute. This study includes all Traumatic Brain Injury patients without poly trauma who were admitted through Emergency as well as OPD . This study exclude patients with any co morbidity like diabetes mellitus, hypertension, thyroid derangement and poly trauma etc. Observation & Results : We observed significant difference of sodium, potassium, and chloride levels following TBI recorded at the time of admission, 24 hours, after 4 days, 8 days, 12 days and 16 days . There was positive correlation of hyponatremia, hypokalemia, hypochloremia, with outcome of the patient. Conclusion : we concluded that electrolyte imbalance following traumatic head injury is an important cause to look for in patient monitoring. Sodium potassium and chloride chief electrolyte of concern. Serum calcium and Phosphate levels also under goes notable changes.
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