鞍区肿瘤术后高钠血症62例治疗体会  

The Treatment Experiences of Postoperative Hypernatremia in 62 Patients with Sellar Tumors

作　　者：杨钧[1] 路伟[1] 付领娣[1] 

机构地区：[1]河北省人民医院神经外科,河北石家庄050051

出　　处：《中国医药指南》2011年第16期198-199,共2页Guide of China Medicine

摘　　要：目的探讨鞍区肿瘤术后高钠血症的诊断及治疗。方法对2000年1月至2009年12月鞍区肿瘤术后发生高钠血症的患者进行回顾性分析。结果 69例鞍区肿瘤术后发生高钠血症62例(25.5%),死亡2例(4.3%)。结论高钠血症是鞍区肿瘤术后常见并发症,术前准备主要包括糖皮质激素的替代疗法和癫痫的预防。术中采用显微技术从鞍区各个手术间隙分块切除肿瘤。术后严密监测尿量和血电解质,去除致病因素及正确纠正高渗状态是治疗高钠血症的关键。Objective To explore the pathogenesis,diagnosis and treatment of postoperative hypernatremia in patients with sellar tumors.Method The clinical data of patients with hypernatremia after total resection of sellar tumors from January 2000 to October 2009 were analysed retrospectively.Results Postoperative hypernatremia occurred in 62 of 469 patients undergoing the surgery for the treatment of sellar tumors（13.2%）.Two patients with postoperative hypernatremia died（4.26%）.Conclusion Hypernatremia is the common complication after resection of sellar tumor.Preparation before operation It mainly includes the substitutive short for glucocorticoid and pretection of epilepsia.Microtechnique is adopted to cut off tumor from the operation interval of sellar area during the operation.lose monitoring of urine volume and blood electrolytes,Getting rid of the eticlogical factors and properly correcting hypertonicity are the key to treating postoperative hypernatremia.

关 键 词：鞍区肿瘤 高钠血症 诊断 治疗 

分 类 号：R739.41[医药卫生—肿瘤]