CAJ | 학술논문

目的探讨儿童颅咽管瘤切除术后水钠代谢紊乱的原因、诊断和治疗.方法回顾性分析颅咽管瘤切除33例患儿资料,根据临床症状、实验室检查、中心静脉压确定水钠代谢紊乱的类型并进行相应处理.结果术后29例患儿出现尿崩症,出院时13例尿量恢复正常,7例尿量接近正常,9例尿量仍多.24例患儿发生钠代谢紊乱,其中15例低钠血症,3例高钠血症,6例高钠低钠交替.除1例患儿死于癫痫持续状态外,其余23例钠代谢紊乱得到良好纠正.结论处理尿崩症要合理使用抗利尿制剂.引起低钠的原因有脑性盐耗综合征和抗利尿激素异常分泌综合征,脑性盐耗综合征要补液、补盐;抗利尿激素异常分泌综合征要适当限水、利尿.高钠血症要限钠、补液并给予抗利尿制剂.
목적 탐토인동로인관류절제술후수납대사문란적원인、진단화치료.방법 회고성분석로인관류절제33례환인자료,근거림상증상、실험실검사、중심정맥압학정수납대사문란적류형병진행상응처리.결과 술후29례환인출현뇨붕증,출원시13례뇨량회복정상,7례뇨량접근정상,9례뇨량잉다.24례환인발생납대사문란,기중15례저납혈증,3례고납혈증,6례고납저납교체.제1례환인사우전간지속상태외,기여23례납대사문란득도량호규정.결론 처리뇨붕증요합리사용항이뇨제제.인기저납적원인유뇌성염모종합정화항이뇨격소이상분비종합정,뇌성염모종합정요보액、보염;항이뇨격소이상분비종합정요괄당한수、이뇨.고납혈증요한납、보액병급여항이뇨제제.
Objective To review the water and serum sodium derangements alter resection of pediatric craniopharyngioma.Methods Clinical data of 33 children with craniopharyngioma,who underwent resection,were reviewed.Results Twenty-nine patients developed diabetes insipidus.Of the 29 patients,13 recovered clinically,7 improved and 9 still had diabetes insipidus when discharged.Of 24 patients who had sodium derangement,15 patients suffered from hyponatremia,3 trom hypernatremia and 6 from mixed hypernatremia/hyponatremia.Of these 24 patients,23 recovered and 1 died of status epilepticus.Conclusions Diabetes insipidus and sodium derangement are common after resection of pediatric craniopharyngioma.