PDF(Pubmed)
Abstract：
Introduction Electrolyte imbalance is a salient finding in traumatic brain injury which can derail their clinical course of recovery in physical and cognitive health while prolonging the hospital stay. Objective This study aims to understand the variation in electrolyte profile that occurs in traumatic brain injury patients which can help in better patient management. Materials and method 50 trauma patients with head injury (Group A) and 50 patients without head injury (Group B) admitted in Central ICU (CICU) under the Department of Anaesthesiology, Assam Medical College and Hospital (AMCH) were selected and analysed with regard to their electrolyte variability. Result All trauma patients with head injury developed an imbalance to one or more electrolytes. Then mean electrolyte level in trauma patients with a head injury and in trauma patients without head injury were 139.3±7.45 vs 143.65±8.89, p<0.05 (sodium), 3.49±0.44 vs 3.88±0.49, p<0.05 (potassium), 7.81±0.5 vs 8.9± 0.35, p<0.05 (calcium) and 2±0.33 vs 2.47±0.41, p<0.05 (magnesium) respectively. Also, patients in the head injury group had a higher incidence of hypoalbuminemia than patients without head injury 2.47±0.67 vs 2.83±0.74 (p<0.05). Conclusion We conclude that traumatic brain injury patients have a greater risk of electrolyte imbalance, viz. hyponatremia, hypokalaemia, hypocalcaemia as well as hypomagnesemia, and hypophosphatemia along with hypoalbuminemia.
摘要：
介绍电解质失衡是创伤性脑损伤的一个重要发现，它可以使他们的身体和认知健康的临床康复过程脱轨，同时延长住院时间。目的本研究旨在了解脑外伤患者电解质谱的变化，这有助于更好地管理患者。材料与方法50例颅脑外伤患者（A组）和50例无颅脑损伤患者（B组）在麻醉科下的中央ICU（CICU），选择并分析了阿萨姆医学院和医院（AMCH）的电解质变异性。结果所有颅脑损伤患者出现一种或多种电解质失衡。颅脑损伤患者和无颅脑损伤患者的平均电解质水平为139.3±7.45vs143.65±8.89，p<0.05（钠），3.49±0.44vs3.88±0.49，p<0.05（钾），7.81±0.5vs8.9±0.35,p<0.05(钙)和2±0.33vs2.47±0.41,p<0.05(镁)。此外，颅脑损伤组患者低蛋白血症发生率高于无颅脑损伤组患者2.47±0.67vs2.83±0.74(p<0.05)。结论颅脑外伤患者发生电解质紊乱的风险较大,viz.低钠血症,低钾血症,低钙血症和低镁血症,低磷血症和低白蛋白血症。
