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首页> 美国卫生研究院文献>other >Greater fluctuations in serum sodium levels are associated with increased mortality in children with externalized ventriculostomy drains in a pediatric intensive care unit
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Greater fluctuations in serum sodium levels are associated with increased mortality in children with externalized ventriculostomy drains in a pediatric intensive care unit

机译：儿科重症监护病房外部脑室引流管引流患儿血清钠水平的较大波动与死亡率增加相关

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摘要

ObjectiveDysnatremia is common in critically ill children due to disruption of hormonal homeostasis. Children with brain injury are at risk for SIADH, cerebral salt wasting and sodium losses due to externalized ventricular drain (EVD) placement. We hypothesized that among pediatric intensive care unit (PICU) patients managed with an EVD, hyponatremia is common, hyponatremia is associated with seizures and in-hospital mortality, and greater sodium fluctuations are associated with in-hospital mortality.
机译：目的由于激素稳态失调，危重症患儿普遍存在血液动力学异常。脑外伤的儿童由于放置外部心室引流（EVD）而有发生SIADH，脑盐浪费和钠流失的风险。我们假设在接受EVD治疗的小儿重症监护病房（PICU）患者中，低钠血症很常见，低钠血症与癫痫发作和院内死亡率相关，而更大的钠波动与院内死亡率相关。

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