32例重型颅脑损伤合并低钠血症临床诊治分析  

The analysis of clinical diagnosis and treatment of hyponarrmia in 32 cases with severe cerebral injury

作　　者：廖驭国 

机构地区：[1]广东省河源市人民医院,517000

出　　处：《中国现代药物应用》2009年第22期27-28,共2页Chinese Journal of Modern Drug Application

摘　　要：目的探讨重型颅脑损伤合并低钠血症临床特点和临床治疗效果。方法选择重型颅脑损伤合并低钠血症32例,分析其临床表现和治疗方法。根据患者临床表现和引起低钠血症的原因,不同的患者给予相应的治疗方法。结果确诊为抗利尿激素不适当分泌综合征(SIADH)23例,脑盐耗综合征(CSWS)9例,经相应治疗后,血钠均恢复正常。平均随访1年,其中良好14例,中残10例,重残6例,2例因严重肺部感染而死亡。结论当颅脑损伤合并低钠血症时,首先要确定产生低钠血症的原因,然后再给予相应治疗,这是治疗的关键,不可盲目治疗,避免出现不良后果。Objective To explore the clinical character and treatment of of hyponarrmia in severe cerebral injury. Methods 32cases with severe cerebral injury selected all had hyponarrmia, the clinical character and treatment were analyzed. According to the symptoms and cause, the different therapies were given to the patients. Results 23cases were diagnosised as syndrome of inappropriate secretion of antidiuretic ;9 cases were di- agnosised as cerebral salt wasting syndrome. After treatment, serum sodium concentration had returned to norreal. After 1 year follow-up, 14cases had a good recovery, 10 case moderate disability ,6 eases severe deficits and 2cases died of severe lung infection. Conclusion When the pateint with severe cerebral injury has hyponarrmia, firstly the cause of hyponamnia should be found out, then the proper treatment should be performed. All of these is the keypoint, hut blindness therapy should be avoided.

关 键 词：重症颅脑损伤 低钠血症 抗利尿激素不适当分泌综合征 脑盐耗综合征 

分 类 号：R651.15[医药卫生—外科学] R591[医药卫生—临床医学]