RỐI LOẠN ĐIỆN GIẢI TRONG CHẤN THƯƠNG SỌ NÃO NHẸ VÀ TRUNG BÌNH TẠI KHOA PHẪU THUẬT THẦN KINH II BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC NĂM 2023

Abstract

Introduction: Electrolyte disorders after traumatic brain injury have been recognized. Electrolyte testing for patients with mild and moderate traumatic brain injury is often neglected or only tested when the patient has cognitive abnormalities. Menthods: Cross-sectional descriptive study on 102 patients aged 17-70 years, Glasgow from 9 to 15 treated at Viet Duc Friendship Hospital from March 2023 to September 2023. Results: There are 2% of patients with hypernatremia, 47% of patients with hyponatremia. 9% of patients had hypokalemia but all patients received potassium during treatment. Dysnatremia occurs most commonly in brain contusions (34%) and combined brain contusions (44%). Dysnatremia occurred on days 2 to 8 after admission, focusing on days 3 (20/50 cases) to day 4 (12/50 cases). Conclusion: 49% of patients with mild and moderate traumatic brain injury have blood sodium disorders, of which hyponatremia is common, occurring most often from the 3rd to 4th day of illness.