重型颅脑损伤低钠血症的诊断和治疗  

Diagnosis and therapy of severe cerebral injured patient with hyponatremia

作　　者：顾洪库 冯国余 车万民 

机构地区：[1]清华大学第一附属医院神经外科,北京100016

出　　处：《中国急救医学》2006年第4期263-265,共3页Chinese Journal of Critical Care Medicine

摘　　要：目的探讨重型颅脑损伤低钠血症的临床特点和治疗方法。方法对42例重型颅脑损伤低血钠患者每天检测血电解质，根据每天的血钠值调整口服10氯化钠的量进行治疗。结果低钠发生时间为术后或伤后5～13d．第7天达到高峰，从术后14d始血钠恢复正常。结论低钠血症的治疗在于早期发现，早期治疗，口服补钠是一种简单、安全、有效的方法，值得我们推广。Objective To study the clinical features and therapeutic method of severe cerebral injured patients with hyponatremia. Methods To examined electrolyte on 42 cases of severe cerebral injured patients with hyponatremia every day. According to daily plasma sodium value, we regulated the quantity of 10% sodium chloride orally taken to carry out therapy. Results 42 cases occured hyponatremia in total 86 cases of sereve cerebral injured patients. The rate is 48. 8%. Hyponatremia happened after .an operation or after injured 5-13 days. The occurrence rate in the seventh day is the highest. Plasma sodium began to recover to normal in 14 days of operation. Conclusions Patients with hyponatremia should be discovered forepart and treated forepart. Orally taken sodium supplement is a simple, safe and effective method. We should extend it to clinical application.

关 键 词：重型颅脑损伤 低钠血症 抗利尿激素分泌不适当综合征 脑性耗盐综合征 10%氯化钠 

分 类 号：R651.15[医药卫生—外科学]