Clinical analysis of hyponatremia following traumatic brain injury
10.3936/j.issn.1002-0152.2014.06.003
- VernacularTitle:创伤性脑损伤后低钠血症的危险因素分析
- Author:
Baozhong SHI
;
Leizhen JIANG
;
Zhifeng QU
;
Jing LI
;
Yali MA
;
Xiaofeng MENG
;
Jiangchao ZHOU
;
Dongxiao XU
;
Gangyi ZHU
- Publication Type:Journal Article
- Keywords:
Hyponatremia;
Traumatic brain injury;
Computerized tomography;
Glasgow coma scale
- From:
Chinese Journal of Nervous and Mental Diseases
2014;(6):331-335
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the incidence and etiological factors of hyponatremia following traumatic brain injury (TBI) and analyze the relationship between hyponatremia and the patient’s age, gender, type of injury, Glasgow coma scale (GCS), operation and computerized tomography (CT) scan of head. Methods Clinical data of 136 pa-tients with moderate or severe TBI in our hospital were analyzed retrospectively, including patient’s age, gender, type of injury, GCS, operation, brain edema and basal skull fracture. The relationship between clinical data and hyponatremia were analyzed statistically by Chi-square test and multivariate Logistic regression analysis. Results There were 56 pa-tients with hyponatremia in 136 patients (81 males) with moderate or severe TBI. Multivariate Logistic regression analysis showed that hyponatremia secondary to TBI was not associated with patient’s age, gender, type of injury and operation or not. However, there was a high correlation between hyponatremia following TBI and clinical characteristics of TBI at ear-ly stage, such as GCS, brain edema and basal skull fracture. Conclusions Patients with TBI is more likely to develop hy-ponatremia when they have the following clinical factors, such as GCS≤8, brain edema or basal skull fracture. Preven-tive measures should be given to these patients in advance.
