颅脑损伤后中枢性低钠血症26例诊断与治疗分析  

Analysis on Diagnosis and Treatment of 26 Patients with Hyponatremia of Central Origin after Craniocerebral Injury

作　　者：余锦刚[1] 陈汉民[1] 张银清[1] 廖圣芳[1] 黄国河[1] 尹家和[1] 王文鑫[1] 管定国[1] 

机构地区：[1]解放军第180医院神经外科,福建泉州362000

出　　处：《临床军医杂志》2006年第5期565-567,共3页Clinical Journal of Medical Officers

摘　　要：目的总结颅脑损伤患者并发中枢性低钠血症诊断与治疗经验。方法对26例颅脑损伤后中枢性低钠血症的临床表现、实验室检查及治疗过程进行回顾性分析。结果25例治愈,1例死于肺部感染。结论正确区分脑性盐耗综合征和抗利尿激素分泌不当综合征是保证有效治疗的关键。Objective To summarize the experience in the diagnosis and the treatment of subsequent hyponatremia of central origin in the patinets with craniocerebral injury. Methods： Twenty six patients with subsequent hyponatremia of central origin after craniocerebral injury were retrospectively analyzed on clinical manifestation, laboratory examination and therapeutic course. Results Twenty five patients were healed up, and the other one died of pulmonary infection. Conclusion It is the key to ensuring effective treatment to correctly differentiate cerebal saltwasting syndrome （CSWS） and syndrome of inappropriate secretion of antidiuretic hormone （SIADH）.

关 键 词：颅脑损伤 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 

分 类 号：R591.1[医药卫生—内科学]