重型颅脑损伤后低血钠综合征  

Hyponatremia syndrome after serious cerebral Injury

作　　者：罗志毅[1] 毋江 

机构地区：[1]郑州大学第一附属医院急诊科/创伤急救中心,450052 [2]解放军第九一医院脑外科

出　　处：《中国现代药物应用》2008年第17期18-19,共2页Chinese Journal of Modern Drug Application

摘　　要：目的探讨颅脑损伤后低血钠的病因,发病机制,诊断及治疗经验。方法对43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。结果患者均分别于1-4周后治愈,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 discuss the pathogenesis, pathology, diagnosis and treatment of Hyponatremia in serious cerebral injured patients. Methods Twenty three patients with subsequent hyponatremia of central origin after craniocerebral injury were retrospectively analyzed on clinical manifestation, laboratory examination and therapeutic course. Results In this series, 42 cases were cured in 1 4weeks and 1 died of secondary cerebral infarction. 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：脑性盐耗综合征 抗利尿激素分泌不当综合征 颅脑损伤 低钠血症 

分 类 号：R651.15[医药卫生—外科学]