中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2009年
8期
34-35
,共2页
中枢性低钠血症%脑出血%抗利尿激素分泌不当综合征%脑性盐耗综合征
中樞性低鈉血癥%腦齣血%抗利尿激素分泌不噹綜閤徵%腦性鹽耗綜閤徵
중추성저납혈증%뇌출혈%항이뇨격소분비불당종합정%뇌성염모종합정
Central hyponatremia%Cerebral hemorrhage%Syndrome of inappropriate antidiuretichormone%Cerebral salt wasting syndrome
目的 探讨中枢性低钠血症的发病机制、诊断和治疗方法.方法 在25例脑出血后中枢性低钠血症患者中,通过其临床表现及实验室检查明确诊断,并给予不同的治疗,观察其临床疗效.结果 抗利尿激素分泌不当综合征应限水治疗,脑性盐耗综合征应补水和补盐治疗,全部病例低钠血症均得到纠正.结论 中枢性低钠血症有两种不同表现形式,且治疗方法不同.正确认识和处理中枢性低钠血症有重要临床意义.
目的 探討中樞性低鈉血癥的髮病機製、診斷和治療方法.方法 在25例腦齣血後中樞性低鈉血癥患者中,通過其臨床錶現及實驗室檢查明確診斷,併給予不同的治療,觀察其臨床療效.結果 抗利尿激素分泌不噹綜閤徵應限水治療,腦性鹽耗綜閤徵應補水和補鹽治療,全部病例低鈉血癥均得到糾正.結論 中樞性低鈉血癥有兩種不同錶現形式,且治療方法不同.正確認識和處理中樞性低鈉血癥有重要臨床意義.
목적 탐토중추성저납혈증적발병궤제、진단화치료방법.방법 재25례뇌출혈후중추성저납혈증환자중,통과기림상표현급실험실검사명학진단,병급여불동적치료,관찰기림상료효.결과 항이뇨격소분비불당종합정응한수치료,뇌성염모종합정응보수화보염치료,전부병례저납혈증균득도규정.결론 중추성저납혈증유량충불동표현형식,차치료방법불동.정학인식화처리중추성저납혈증유중요림상의의.
Objective To investigate the pathogenesis, diagnosis and treatment of central hy-ponatremia. Methods According to their clinical presentation and laboratory examination,25 cases who diagnosed as central hyponatremia were exerted different treatments;then observed their curative effect.Results The patients of syndrome of inappropriate antidiuretic hormone (SIADH) were limited liquid supplement, while the patients of cerebral salt wasting syndrome (CSWS) were supplied adequate liquid and salt. All patients' hyponatremia were corrected. Conclusions Central hyponatremia has two differ-ent clinical manifestation and treatments, accurate recognitionand treatment of central hyponatremia have significant clinical meanings.
