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目的探讨重型颅脑损伤(SHI)患者应激状态的临床特点。方法回顾性分析363例SHI患者临床资料。结果363例SHI患者中,253例(69.7%)出现应激性反应,表现为高血压123例(33.9%,死亡41例),低钠血症51例(14.0%,死亡8例),高血糖182例(50.1%,死亡94例),心脏反应218例(60.1%,死亡31例),溃疡出血89例(24.5%,死亡42例)。结论重型颅脑损伤患者一旦出现应激性反应,将加重病情,应加强监测、积极处理。
Objective To investigate the clinical features of stress status in patients with severe craniocerebral injury (SHI). Methods The clinical data of 363 SHI patients were retrospectively analyzed. Results Of the 363 SHI patients, 253 (69.7%) had stress reactions, including 123 cases of hypertension (33.9%, 41 deaths), 51 cases of hyponatremia (14.0%, 8 deaths) and high 182 cases (50.1%, 94 deaths), 218 heart attacks (60.1%, 31 deaths) and 89 ulcer bleeding (24.5%, 42 deaths). Conclusion Once the stress reaction occurs in patients with severe craniocerebral injury, the condition will be aggravated. Monitoring should be strengthened to deal with it positively.