鞍区肿瘤术后低钠血症的临床处理  

Treatment scheme of byponatremia after sellar tumors surgery

作　　者：廖巍[1] 林少华[1] 黄汉添[1] 胡子慧[1] 李亮明[1] 林其昌[1] 

机构地区：[1]广东省中山市人民医院神经外科,528403

出　　处：《中国临床实用医学》2009年第12期109-110,共2页China Clinical Practical Medicine

摘　　要：目的探讨鞍区肿瘤手术后并发尿崩症以及低钠血症的病因、发病机制、诊断、治疗经验。方法回顾分析37例鞍区肿瘤术后尿崩症以及低钠血症患者，通过其临床表现及实验室检查确立诊断，总结有效的治疗方法。结果37例中临床诊断脑性盐耗综合征27例，抗利尿激素分泌异常综合征10例，均恢复良好。结论鞍区肿瘤术后易并发严重的尿崩症及低钠血症，绝大多数为脑性盐耗综合征，应与抗利尿激素分泌异常综合征相区别，抗利尿、补充血容量和补盐治疗效果满意。Objective To explore the aticlagical factar,pathagancsis, diagnosis and treatment axparicnac pentoperative diabetes insipidus and hymnatramia in sally area neoplasm. Methods 37 patients of postoperative diabetes insipidus and hypanatramia in sally area neoplasm were analysed, ratmspcx, tivaly and diagnenad by their clinic,manifestations and laboratory examination to summary effective therapy methods. Results Cerebral salt wasting syndrome （CSWS） in 27, and syndrome of inappropriate secretion of the antidinrefic hormone in 10,thirty-seven cases were cured. Conclusion Sally area neoplasm do take plane complicaticns such as severe diahatcs insipidus and hypanatramia cosily after resection, but in most of which, satisfactary trcvtmant affact could be get by proper complementation salt and blood volume and proper antidiurcsis therapy.

关 键 词：鞍区肿瘤 低钠血症 尿崩症 

分 类 号：R730[医药卫生—肿瘤] R73[医药卫生—临床医学]