鞍区病变手术后低钠血症的诊断和治疗  

Diagnosis and Treatment of Hyponatremia Secondary to Postoperation in Sella Area Disease

作　　者：姜德华[1] 赵建平[1] 王博[1] 孙建新[1] 

机构地区：[1]东南大学医学院附属徐州医院神经外科,徐州市221009

出　　处：《医药论坛杂志》2006年第20期7-8,共2页Journal of Medical Forum

摘　　要：目的探讨鞍区病变手术后并发低钠血症的诊断和治疗方法。方法回顾性分析我科2001年1月-2005年12月诊治的18例鞍区病变手术后并发低钠血症的临床资料。结果16例患者诊断为脑性盐耗综合症,2例诊断为抗利尿激素不适当分泌综合症。经相应治疗后,全部患者低钠血症纠正,恢复良好17例,自动出院1例。结论鞍区病变手术后易发生低钠血症,中心静脉压监测对其诊治有指导意义。Objective To study peration in sella area disease. Methods diagnosis and treatment of hyponatremia secondary to postoRetrospectively reviewed 18 patients with postoperative hy- ponatremia in sella region disease,treated between January 2001 and December 2005. Results 16 cases with salt wasting syndrome （CSWS） ,2 cases with syndrome of inappropriate secretion of antidiuretic hormone（SIADH）. After treatment ,all patients recovered normal blood sodium level. 17cases cured, 1cases left hospital intentionally. Conclusion Central hyponatremia often appeared postoperation in sella area disease. Monitoring the central venous pressure has guiding significance for the diagnosis and treatment of hyponatremia.

关 键 词：低钠血症 脑性盐耗综合症 鞍区病变 

分 类 号：R591.1[医药卫生—内科学]