摘要
目的 探讨颅咽管瘤全切除患者术后发生低钠血症的诊断及处理方法。方法 回顾性分析我科近4年颅咽管瘤全切除术后并发低钠血症的36例患者。根据实验室检查、临床症状及中心静脉压确定低钠血症的类型并给予对症处理。结果1例死于继发性脑梗塞,1例自动出院,34例患者低钠血症状恢复。结论 中枢性低钠血症包括脑性盐耗综合征（CSWS）和抗利尿激素不适当分泌综合征（SIADH）。前者应予以充分补钠、补水,可通过肠内及静脉两种方式进行补充;后者却需要限水治疗。
Objective To study the diagnosis and management of hyponatremia after complete resection of craniopharyngioma. Methods Clinical data from 36 patients of craniopharyngioma with hyponatremia were analyzed retrospectively. Based on clinical presentation,laboratory results and central venous pressure, effective therapy was provided. Results Among the 36 cases, 34 were cured , 1 died of secondary cerebral infarction, and 1 left hospital intentionally. Conclusion Central hyponatremia consists of cerebral salt wasting syndrome (CSWS) and syndrome of inappropriate secretion of antidiuretic hormone (SIADH). Sufficient hydration or salt replacement is safe and effective for the former, but water limitation is necessary for the latter.
出处
《中华神经外科疾病研究杂志》
CAS
2002年第1期32-33,共2页
Chinese Journal of Neurosurgical Disease Research
关键词
颅咽管瘤
低钠血症
脑性盐耗综合征
抗利尿激素分泌不当综合征
诊断
Craniopharyngioma
Hyponatremia
Cerebral salt wasting syndrome
Syndrome of inappropriate secretion of antidiuretic hormone
