脑外伤后脑盐耗综合征19例临床分析  

Clinical analysis of 19 cases with cerebral saltwasting syndrome after brain injury

作　　者：李平安[1] 罗小林[1] 余英教[1] 朱飚[1] 李冲[1] 郭铭[1] 梁晓华[1] 

机构地区：[1]广东省韶关市粤北人民医院神经外科,广东韶关512026

出　　处：《中国现代医学杂志》2010年第11期1737-1738,共2页China Journal of Modern Medicine

摘　　要：目的探讨脑外伤后患者并发脑盐耗综合征(CSWS)的病因、诊断及治疗方法。方法回顾性分析19例颅脑损伤后发生脑盐耗综合征的病例。结果 16例低钠血症症状恢复,3例死于急性脑肿胀。结论脑外伤后若发生高尿钠、低血钠、中心静脉压下降的情况应诊断为CSWS,需与尿崩症及抗利尿激素分泌异常综合征(SIADH)鉴别。[Objective]To discuss the causes, diagnosis and treatment of brain injury patients with cerebral saltwasting syndrome（CSWS）.[Methods]19 cases with cerebral saltwasting syndrome after brain injury were retrospectively analyzed. [Results]16 patientswith hyponatremia syndrome restored, and 3 patients died of acute brain swelling.[Conclusion]The patients with brain injury complicated with high urinary sodium, hyponatremia and central venous pressure decreasing could be diagnosed as CSWS, however, diagnosis of CSWS would eliminate syndrome of inappropriate secretion of anti-diuretic hormone （SIADH） and Diabetes insipidus.

关 键 词：颅脑损伤 脑盐耗综合征 

分 类 号：R651.15[医药卫生—外科学]