摘要
目的探讨重型颅脑损伤病人并发脑性盐耗综合征的病因、发病机制、诊断及治疗经验。方法回顾性分析重型颅脑损伤后发生脑性盐耗损综合征的２０例病人，通过其临床表现及实验室指标明确诊断，确定有效的治疗方法。结果除１例死于继发性脑梗塞外，１９例病人低血钠症状恢复。结论低血钠、高尿钠、低血容量及意识状态改变是脑性盐耗综合征的诊断依据，水化和补盐治疗安全有效。
Objective To discuss the pathogenesis, pathology, diagnosis and treatment of cerebral salt wasting syndrome (CSWS) in serious cerebral injured patients. Methods Based on clinical presentation and laboratory results, 20 cases of CSWS after serious cerebral injury were analyzed retrospectively and the effective therapy was provided. Results In this series, 19 cases were cured and 1 died of secondary cerebral infarction. Conclusions Hyponatremia, hypernatruria, hypovolemia and changes of consciousness are main signs to diagnose CSWS. Hydration and salt replacement are safe and effective in the treatment of CSWS.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1999年第4期269-270,共2页
Chinese Journal of Trauma
关键词
颅脑损伤
脑性盐耗综合征
发病机制
诊断
治疗
Brain injuries Hyponatremia Inappropriate ADH syndrome Cerebral salt wasting syndrome
