颅脑外伤后并发脑性盐耗综合征的诊治体会  

Diagnosis and treatment of cerebral salt wasting syndrome in patients of traumatic brain injury

作　　者：朱青峰[1] 边世春[1] 王国芳[1] 

机构地区：[1]解放军第264医院神经外科,山西太原030001

出　　处：《临床军医杂志》2013年第4期359-360,共2页Clinical Journal of Medical Officers

摘　　要：目的探讨颅脑损伤后并发脑性盐耗综合征(CSWS)的发生率、诊断及治疗策略。方法对我科2009年1月—2012年6月收治的36例CSWS患者的临床资料进行回顾性分析总结。结果 31例CSWS患者血钠恢复正常,3例死亡,2例血钠仍低,但无症状出院。结论CSWS是颅脑损伤患者低钠血症的主要原因。早期明确诊断,在治疗颅脑外伤原发病的基础上,积极补液补钠是有效治疗CSWS的关键。Objective To explore the incidence, diagnosis and treatment strategies of cerebra] salt wasting syndrome （CSWS） after traumatic brain injury （TBI）. Methods The clinical clata of 36 patients of CSWS, who were admitted to our department from January 2007 to June 2012, were retrospectively analyzed and summarized. Results Of the patients, 31 gained serum sodium re- turn to normal, three dies, two continued to experience hyponatremia but discharged asymptomatically. Conclusion CSWS is the main reason of hyponatremia in patients with TBI. The approaches to therapy include early diagnosis, active rehydration and sodium supplement on the basis of treating primary disease.

关 键 词：颅脑损伤 脑性盐耗综合征 

分 类 号：R651.15[医药卫生—外科学]