中国医学创新Issue(24)：58-60,61,4.DOI:10.3969/j.issn.1674-4985.2014.24.019
神经外科低钠血症的临床分析
The Clinical Analysis of Hyponatremia in Neurosurgical Patients with Craniocerebral Injury
刘辉1
作者信息
- 1. 辽宁省抚顺市中心医院 辽宁 抚顺 113006
- 折叠
摘要
Abstract
Objective:To explore the etiopathogenesis,differential diagnosis and management principles of hyponatremia in the neurosurgical patients.Method:The clinical data of 700 cases of craniocerebral injury and hyponatremia in our hospital was analyzed retrospectively,they were divided into the light-medium group(n=360)and the severe group(n=340),and compared with the control group,the characteristic of each group was analyzed. The patients with severe craniocerebral injury caused by CSWS in 62 cases,40 cases caused by SIADH,the difference of every index was compared.Result:Blood sodium,urine sodium and osmotic pressure of the severe group and the light-medium group had statistically significant difference compared with the control group(P<0.05);and had statistically significant difference between the two groups(P<0.05). The disease time,hematocrit and hemoglobin concentration of the CSWS group and the SIADH group had significant difference(P<0.05). Conclusion:Hyponatremia can be easily found in patients with craniocerebral injury. Severe craniocerebral injury patients with reduced blood sodium and urine sodium and urine osmotic pressure rise more obvious.The severe craniocerebral injury are due to CSWS and SIADH,and restricting liquid infusion is the effective measure of treating the patients with SIADH,but the primary treatment for CSWS is water and salt replacement.关键词
低钠血症/颅脑损伤/抗利尿激素异常分泌综合征/脑性耗盐综合征Key words
Hyponatremia/Craniocerebral injury/Syndrome of inappropriate antidiuretic hormone/Cerebral salt consumption syndrome引用本文复制引用
刘辉..神经外科低钠血症的临床分析[J].中国医学创新,2014,(24):58-60,61,4.
