摘要
目的探讨鞍区肿瘤术后中枢性低钠血症的诊断及治疗方法。方法回顾性分析我科近4年来鞍区肿瘤切除术后中枢性低钠血症48例患者,根据实验室检查、临床症状及中心静脉压确定低钠血症的类型并给予对症处理。结果 死亡1例,1例自动出院,46例低钠血症症状恢复。结论 中枢性低钠血症包括脑盐耗综合征和抗利尿激素不适当分泌综合征。前者应给予充分补钠、补水治疗,后者却需限水治疗。
Objective To study the diagnosis and management of hyponatremia after resection of sella region tumors. Methods , Clinic data from 48 patients of sella region tumors with hyponatremia were analyzed retrospectively Based on clinical presentation, laboratory results, central venous pressure,effective therapy was provided. Results Among the 48 cases,46 were cured, 1died, Heft hospital-inentiondlly. Conclusion Central hyponatremia consists of cerebral salt wasbing syndrome and syndrome of inappropriate secretion of anndiuretlc honmone sufficient hydration or sailt replacement is safe and effective for the former but water limitation is necessary for the latter.
出处
《河南实用神经疾病杂志》
2003年第2期12-13,共2页
Henan Journal of Practical Nervous Diseases
