颅脑损伤合并低钠血症57例临床分析  

Clinical analysis on 57 cases with craniocerebral injury plus hyponatremia

作　　者：王顺超 何杰 王宏 卢剑波[2] 

机构地区：[1]重庆市彭水县人民医院神经外科,重庆404000 [2]重庆三峡医药高等专科学校,重庆404020

出　　处：《吉林医学》2011年第22期4538-4539,共2页Jilin Medical Journal

摘　　要：目的:探讨颅脑损伤并发低钠血症的病因、发病机制、诊断和治疗经验。方法:对57例合并低钠血症的重症颅脑损伤患者临床资料进行回顾性分析。结果:9例死亡,48例患者低钠血症均纠正。结论:重型颅脑损伤合并低钠血症治疗的关键是尽快确定是抗利尿激素不适当分泌综合征(SIADH)还是脑盐耗综合征(CSWS)。Objective To explore the etiology,pathogenesis,diagnosis and treatment experiences of cr aniocerebral injury plus hyponatremia.Method The clinical data of 57 severe craniocerebral injury patients with hyponatremia were analyzed.Results Nine patients died,48 patients′hyponatremia was corrected.Conclusion The key points of tr eating severe craniocerebral injury with hyponatremia is to make sure the reason of hyponatremia is CSWS or SIADH.

关 键 词：低钠血症 脑盐耗综合征 抗利尿激素不适当分泌综合征 

分 类 号：R651.15[医药卫生—外科学]