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“全面康复”理念应用于脑外伤后并SIADH案例分享1例

Case sharing of ’comprehensive rehabilitation’ concept in 1 case of SIADH after traumatic brain injury

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【作者】 王小雨; 李洁; 惠汝霞; 袁莎莎;

【Author】 WANG Xiaoyu;LI Jie;HUI Ruxia;YUAN Shasha;People’s Hospital of Rizhao;

【通讯作者】 李洁;

【机构】 日照市人民医院;

【摘要】 “全面康复”理念认为康复治疗不仅针对疾病本身,更要注重疾病所带来的身心功能障碍,认为应该通过各种治疗手段恢复患者各方面功能,最终达到回归家庭与社会的目的。抗利尿激素分泌不适当综合征(SIADH)可引起稀释性低钠血症、尿钠与尿渗透压升高等一系列临床症状。脑外伤后并发SIADH的患者并不少见,尽管临床对于SIADH的治疗方法已相对成熟,但二者合并后临床症状可能存在不典型、鉴别诊断困难的情况,加大了治疗难度,危害患者健康。本研究将从“全面康复”理念出发,结合相关文献,对收治的1例脑外伤后SIADH患者的临床资料及诊疗经过进行汇报,以期为今后脑外伤后并SIADH患者的诊治提供借鉴。

【Abstract】 The concept of ’comprehensive rehabilitation’ holds that rehabilitation treatment should not only aim at the disease itself, but also pay attention to the physical and mental dysfunction caused by the disease. It is believed that all aspects of patients’ functions should be restored through various treatment methods,and finally the purpose of returning to family and society should be achieved. Syndrome of inappropriate antidiuretic hormone secretion(SIADH) can cause a series of clinical symptoms such as dilutional hyponatremia,elevated urinary sodium and urinary osmotic pressure. Patients with SIADH after traumatic brain injury are not uncommon. Although the clinical treatment of SIADH is relatively mature, the clinical symptoms may be atypical and difficult to diagnose after the combination of the two, which increases the difficulty of treatment and endangers the health of patients. Based on the concept of ’comprehensive rehabilitation’ and related literature, this study will report the clinical data and diagnosis and treatment of 1 patient with SIADH after traumatic brain injury, in order to provide reference for the diagnosis and treatment of patients with SIADH after traumatic brain injury in the future.

【基金】 日照市自然科学基金项目(No.RZ2022ZR39)
  • 【文献出处】 临床医学研究与实践 ,Clinical Research and Practice , 编辑部邮箱 ,2025年19期
  • 【分类号】R651.15
  • 【下载频次】19
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