颅脑损伤后脑盐耗综合征的特点和诊治  

Clinical characteristics, diagnosis and treatment of cerebral salt wasting syndrome after craniocerebrul injury

作　　者：杨自力[1] 林材元[1] 吴恒义[2] 白涛[2] 

机构地区：[1]广州市第一人民医院ICU,广州市临床重症救治中心,510180 [2]广州军区总医院ICU

出　　处：《中华创伤杂志》2007年第3期164-166,共3页Chinese Journal of Trauma

摘　　要：目的分析颅脑损伤后脑盐耗综合征（cerebral salt wasting syndrome，CSWS）的临床特点、诊断和治疗。方法回顾分析近10年收治的14例颅脑损伤后CSWS的临床资料。结果CSWS患者除了血钠降低、尿钠增高外，还有意识的改变，同时有中心静脉压降低和心率增快。结论血容量改变是和其他中枢性低钠血症相鉴别的重要指标，早期诊断和治疗可以降低CSWS患者的死亡率。Objective To analyze clinical characteristics, diagnosis and treatmens of cerebral salt wasting syndrome （CSWS） after craniocerebral injury. Methods A retrospective stedy was done on data of 14 cases with cerebral salt wasting syndrome after craniocerebral injury. Results The cases with CSWS had disturbance of consciousness, decrease of central venous pressure and rapid heart rate as well as hyponatremia and hypersthenuria. Conclusion The change of blood volume is the important index distinguishing from SIADH（ syndrome of inappropriate antidiuretic hormone）, and early diagnosis and treatment can reduce the morbidity and mortality.

关 键 词：脑损伤 脑耗盐综合征 

分 类 号：R686[医药卫生—骨科学]