老年人颅脑损伤后低钠血症临床分析  

Clinical Analysis of Patients with Hyponatremia after Craniocerebral Injury

作　　者：吕爱宾[1] 郑志新[1] 

机构地区：[1]安徽省黄山市人民医院脑外科,245000

出　　处：《中华全科医学》2010年第6期703-704,共2页Chinese Journal of General Practice

摘　　要：目的总结老年人颅脑损伤后低钠血症的发病机理、诊断及治疗。方法回顾性分析14例老年人颅脑损伤后低钠血症的类型,发病机制,临床表现及治疗。结果 14例中脑性盐耗综合征(CSWS)9例,抗利尿激素分泌不当综合征(SIADH)4例,心肾功能不全1例,根据各组病因不同给予相应治疗,疗效良好。结论老年颅脑损伤并发低钠血症以脑性盐耗综合征(CSWS)常见,其次为抗利尿激素分泌不当综合征(SIADH)和心肾功能不全等。治疗以补钠、限水、激素及对症治疗。Objective To explore the etiology, pathogenesis, diagnosis and treatments of hyponatremia after craniocerebral injury. Methods 14 cases between Jan 2006 and Dec 2008 were analyzed retrospectively. Results Among 14 cases ,9 patients were identified with CSWS,4 patients were SIADH,the rest were chronic heart failure with chronic renal failure. Patients were treated according to different causes, all were cured. Conclusion CSWS was the normal cause and SIADH was the second in the old pa- tients with cranioeerebral injury. The safe and effective treatments included sodium supplement, water limiting, and glucoeortieoid therapy and symptom-oriented therapy.

关 键 词：老年人颅脑损伤 脑性盐耗综合征(CSWS) 抗利尿激素分泌不当综合征(SIADH) 

分 类 号：R651.15[医药卫生—外科学]