【摘要】 目的探讨神经外科住院病人中引起重度低钠血症的病因、发病机理、诊断及治疗。方法回顾2年住院病人出现低钠血症的临床表现,实验室检查,分析10例抗利尿激素分泌异常综合征的特点。结果抗利尿激素分泌异常综合征的病人补盐后症状加重,浮肿,多伴有喘息性呼吸困难。结论抗利尿激素分泌异常综合征的病人有高龄、出现晚、与其他并发症有互为因果关系的特点,限水是有效治疗的措施。更多还原

【Abstract】 Objective To explore the etiology, mechanism, diagnosis and treatments of severe hyponatremia in the neurosurgical patients. Method The clinical data of patients with hyponatremia, especially 10 patients suffering from syndrome of inappropriate sec-retion of antidiuretic hormone (SIADH), admitted into our department in the last 2 years were analyzed retrospectively. Results Of 1818 neurosurgical patients, 772 patients suffered from hyponatremia. Of 772 patients with hyponatremia, 740 suffered from nutritional or diuretic hyponatremia, 22 cerebral salt wasting syndrome and 10 SIADH. If the patients with SIADH were treated by complementing salt, their conditions would deteriorate. Conclusions SIADH often occurs in aged patients and in the late period of hospitalization, and correlats with other complications. Restricting liquid infusion is the effective measure of treating the patients with SIADH.更多还原