【摘要】 目的总结重度颅脑损伤后低钠血症的临床治疗及文献复习。方法回顾性分析22例重度颅脑损伤患者出现低钠血症的类型、发病机理、临床治疗及预后。结果 22例病例中脑性盐耗综合征(CSWS)15例,抗利尿激素分泌不当综合征(SIADH)5例,心、肾功能不全2例,根据不同病因给予相应治疗,低钠血症逐渐纠正,疗效显著。结论重度颅脑损伤后低钠血症以脑性盐耗综合征为主,其次为抗利尿激素分泌不当综合征和心肾功能不全等。临床经对症治疗,疗效良好。更多还原

【Abstract】 Objective This article summarized the clinic treatment and reviewed references of the hyponatremia after the severe craniocerebral injury.Methods The types,pathognensis,clinic treatment and prognosis of the hyponatremia occurred in the 22 patients who had the severe craniocerebral injury were retrospectively analyzed.Results In the 22 patients,the 15 patients were with the cerebral salt wasting syndrome(CSWS),and the 5 patients were with the syndrome of inappropriate antidiuretic hormone secretion(SIADH)and the 3 patients were with the renal insufficiency.Depending on their different etiopathogenesis,these patients were given the corresponding treatments,and their hyponatremia was gradually corrected with the significant curative effect.Conclusion For the hyponatremia after the severe craniocerebral injury,the cerebral salt wasting syndrome was taken as the main,and the others were the syndrome of inappropriate antidiuretic hormone secretion and the renal insufficiency,etc.Through the heteropathy in the clinic treatment,the good curative effect can be obtained.更多还原