脑性盐耗综合征与抗利尿激素异常分泌综合征的鉴别  

Differentiation of the cerebral salt wasting syndrome and syndrome of inappropriate antidiuretic hormone secretion

作　　者：周莎莎[1] 李嫔[1] 

机构地区：[1]上海市儿童医院上海交通大学附属儿童医院内分泌科,200040

出　　处：《国际儿科学杂志》2014年第6期664-666,共3页International Journal of Pediatrics

摘　　要：脑性盐耗综合征和抗利尿激素异常分泌综合征在颅脑疾病相关的低钠血症中均占用一定比例.两种疾病临床表现极为相似,且易混淆,而治疗原则却大不相同.因此,正确鉴别两种疾病,对于临床患者的治疗及预后意义重大.该文从发病机制、诊断及治疗等方面对两种疾病进行鉴别.The cerebral salt wasting syndrome and syndrome of inappropriate antidiuretic hormone secretion are frequent in hyponatremia in patients with intracranial disorders.There is a major problem about the incidence,diagnosis,and differentiation of cerebral salt wasting syndrome and syndrome of inappropriate secretion of antidiuretic hormone in patients with acute central nervous system disorders.Clinical presentation of cerebral salt wasting syndrome is similar to syndrome of inappropriate antidiuretic hormone secretion,but the therapy is different.So differential diagnosis is essential for appropriate management.This paper differentiate two kinds of diseases from the pathogenesis,diagnosis and treatment.

关 键 词：脑性盐耗综合征 抗利尿激素异常分泌综合征 诊断 鉴别诊断 治疗 

分 类 号：R742[医药卫生—神经病学与精神病学]