摘要
目的:探讨颅脑损伤后抗利尿激素分泌不当综合征的诊断和治疗。方法:回顾性分析我科近6a收治的9例颅脑损伤后抗利尿激素分泌不当综合征的临床特点。结果:9例经限制液体摄入和适量的补盐治疗,低钠症状10d内改善。治愈8例,死亡1例。结论:低钠血症、低血浆渗透压、高尿钠及尿渗透压高于血浆渗透压是颅脑损伤后抗利尿激素分泌不当综合征的诊断依据。限制液体入量、适量补盐及调节ACTH/ADH的平衡是安全有效的治疗方法。
Objective: To explore diagnosis and treatment of syndrome of Inappropriate Antidiuretic Hormone Secretion after Cranial Cerebral Injury. Methods: Retrospective analysis of clinical features of 9 patients of Syndrome of Inappropriate Antidiuretic Hormone Secretion after Cranial Cerebral Injury treated in our department in the past 6 years. Results: After restrication of liquid intake and appropriate salt intake, 9 patients were cured in 10 days. Eight patients have been cured, and one patient died. Conclusion: Hyponatremia, low plasma osmotic pressure, high urine sodium and the osmotic pressure of urine larger than plasma osmotic pressure are made up of the basis of the diagnosis of SIADH.Restrication of iquid intake, appropriate salt intake and regulation balance between ADH and ACTH are safe and effective in the treatment of SIADH.
出处
《大理学院学报（综合版）》
CAS
2005年第1期54-56,共3页
Journal of Dali University
关键词
颅脑损伤
低钠血症
抗利尿激素分泌不当综合征
诊断
治疗
Cranial Cerebral Injury
Hyponatremia
Syndrome of Inappropriate Antidiuretic Hormone Secretion
