小儿结核性脑膜炎合并低钠血症44例临床分析  

Tuberculous meningitis in children combined low serum sodium clinical analysis of 44 cases

作　　者：郑丽丽[1] 李军[1] 

机构地区：[1]山东大学医学部公共卫生学院,济南250012

出　　处：《滨州医学院学报》2012年第6期441-443,共3页Journal of Binzhou Medical University

摘　　要：目的分析小儿结核性脑膜炎合并低钠血症的临床表现及治疗效果,为探讨临床有效、安全的治疗方法提供参考。方法回顾性调查我院儿科1983年10月—1993年6月收治结核性脑膜炎合并低钠血症患者44例,进行临床疗效分析。结果按照结核性脑膜炎合并低钠血症的诊断标准收集到44例患者,年龄在6个月～12岁。其中,男24例,女20例;结核性脑膜炎18例,结核性脑膜脑炎26例。采用限水、补钠及利尿等疗法。治疗效果为治愈32例(72.7%),好转10例(22.7%),死亡2例(4.5%)。结论小儿结核性脑膜炎合并SIADH引起的稀释性低钠血症临床上较常见,应引起足够重视,及时诊治。Objective To observe to treatment effect of complications pediatric tuberculous meningitis-hyponatremia（PTM-H） and the clinical manifestations . in order to provide reference about exploring clinical effective and safe treatment method. Methods There were 44 PTM-H admitted to our hospital between October 1983 and June 1993. The cases were analyzed retrospectively. Results According to the diagnosis standard of PTMH,collected 44 cases aged 6 months to 12 years old. Among the 44 cases,24 of them were male, female for 20 cases;tubercular meningitis for 18 cases, tuberculous meningocephalitis for 26 cases. To use the main treatment called the limit of water , sodium patch and diuretic therapy. Among the 44 cases,32 of them recovered（72. 7 % ） , 10 improved （22. 7% ）, 2 died （4. 5% ）. Conclusion Dilutional hyponatremia which is caused by pediatric tuberculous meningitis- STADH is common in clinical. It should be paid much attention and timely diagnosis and treatment.

关 键 词：血清钠 SIADH 结核性脑膜炎 儿童 

分 类 号：R529.9[医药卫生—内科学]