摘要
目的:分析探讨中枢性低钠血症的诊断及处理方法。方法:回顾性分析我科近5年收治的32例中枢性低钠血症患者诊治经过。结果:本组5例符合抗利尿激素分泌异常综合征(SIADH),27例符合脑性耗盐综合征(CSWS),全部患者低钠血症在1-2周内均得到纠正。结论:神经外科疾患并发中枢性低钠血症应密切监测血钠、中心静脉压及24h尿钠水平,并以此为依据鉴别其类型,给予有效治疗。
Objective: To investigate the diagnosis and treatment of central hyponatremia. Methods: The. clinical data of 32 patients with central hyponatremia, who received treatment in our hospital in recent 5 years, were analyzed retrospectively. Results: The 5 patients accorded with the syndrome of inappropriate antidiuretic hormone secretion, 27 cases were consistent with cerebral salt wasting syndrome, all patients with hyponatremia were cured within 1-2 weeks. Conclusion: Central hyponatremia after neurosurgical disorders should be closely monitored serum sodium, central venous pressure and 24-hour urinary sodium level, and as a basis for identifying its type, to give effective -treament.
出处
《中国医药导报》
CAS
2011年第26期150-151,共2页
China Medical Herald
关键词
中枢性低钠血症
脑性盐耗综合征
抗利尿激素分泌不当综合征
Central hyponatremia
Cerebral salt wasting syndrome
Syndrome of inappropriate secretion of antidiuetie hormon