脑性盐耗综合症  

Cerebral salt wasting syndrome

作　　者：高寒[1] 张嘉林[1] 漆松涛[1] 

机构地区：[1]第一军医大学南方医院神经外科,广东广州510515

出　　处：《中国病理生理杂志》2002年第4期438-441,共4页Chinese Journal of Pathophysiology

摘　　要：There is significant evidence to show that many neurosurgical patients with hyponatremia, who were previously diagnosed with syndrome of inappropriate antidiuretic hormone secretion(SIADH), actually have cerebral salt wasting syndrome(CSWS). The critical difference between SIADH and CSWS is that CSWS involves renal salt loss leading to hyponatremia and volume loss, whereas SIADH is a euvolemic or hypervolemic condition. The primary treatment for CSWS is water and salt replacement. The mechanisms underlying CSWS are not understood but may involve ANP or other natriuretic factors and direct neural influence on renal function.There is significant evidence to show that many neurosurgical patients with hyponatremia, who were previously diagnosed with syndrome of inappropriate antidiuretic hormone secretion(SIADH), actually have cerebral salt wasting syndrome(CSWS). The critical difference between SIADH and CSWS is that CSWS involves renal salt loss leading to hyponatremia and volume loss, whereas SIADH is a euvolemic or hypervolemic condition. The primary treatment for CSWS is water and salt replacement. The mechanisms underlying CSWS are not understood but may involve ANP or other natriuretic factors and direct neural influence on renal function.

关 键 词：抗利尿激素分泌不当综合症 低钠血症 脑性盐耗综合症 神经外科 

分 类 号：R591.1[医药卫生—内科学]