摘要
目的探讨成人颅咽管瘤术后水电解质紊乱的临床特点、治疗以及预后。方法根据术后血钠的变化情况,对57例成人颅咽管瘤术后水电解质紊乱的临床特点和治疗进行了分析。结果除20例(35.1%)患者术后水电解质正常外,37例(64.9%)患者在术后出现了不同程度和不同类型的水电解质紊乱。其中低渗性脱水(血清钠<135 mmol/L)17例(45.9%),高渗性脱水(血清钠>150 mmol/L)7例(18.9%),等渗性脱水3例(8.1%),典型的"三期"变化6例(16.2%),高钠-低钠交替出现4例(10.8%)。结论颅咽管瘤术后水电解质异常纠正是颅咽管瘤治疗和患者恢复过程中非常重要的方面,需要及时监测其变化并给予针对性的治疗。
Objective To investigate the clinical characteristics,treatment and prognosis of water-electrolyte disorders following adult craniopharyngioma surgery.Methods The alterations of water-electrolyte balance in 57 cases were retrospectively analyzed according to the serum sodium level after adult craniopharyngioma surgery.Results Most patients developed water-electrolyte disorders of different extents and types after craniopharyngioma surgery.Except 20（35.0%） patients,the other 37（65.0%） patients developed various types and degrees of postoperative water-electrolyte disturbances.There were hypotonic dehydration（serum sodium135mmol/L） in 17 patients（45.9%）,hypertonic dehydration（serum sodium150mmol/L） in 7 patients（18.9%）,isotonic dehydration in 3 patients（8.1%）,typical triphasic alterations in 6 patients（16.2%）,and alternation between high and low sodium levels in 4 patients（10.8%）.Conclusion It is critical for a sound outcome of craniopharyngioma surgery to manage dehydration and endocrine disorders.
出处
《中国肿瘤临床与康复》
2011年第3期242-244,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
颅咽管瘤
术后水电解质紊乱
治疗
Craniopharyngioma
Postoperative water-electrolyte disorders
