中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2013年
6期
76-77
,共2页
中枢性低钠血症%颅脑损伤%临床诊断%治疗经验
中樞性低鈉血癥%顱腦損傷%臨床診斷%治療經驗
중추성저납혈증%로뇌손상%림상진단%치료경험
central hyponatremia%craniocerebral injury%clinical diagnosis%treatment experience
目的探讨研究颅脑损伤患者并发中枢性低钠血症的诊断及治疗方法,总结其临床经验。方法选取我院60例颅脑损伤并发中枢性低钠血症患者的临床资料,分析总结其临床表现与诊治方法。结果本组60例中,抗利尿激素分泌异常者42例,其中40例血钠转归,2例死亡;脑性耗盐综合征者18例,其中17例血钠转归,1例死亡。结论及早诊断导致低钠血症发生的根本原因,尽早对症治疗,能有效提高颅脑损伤患者的血钠转归率,减少死亡发生率。
目的探討研究顱腦損傷患者併髮中樞性低鈉血癥的診斷及治療方法,總結其臨床經驗。方法選取我院60例顱腦損傷併髮中樞性低鈉血癥患者的臨床資料,分析總結其臨床錶現與診治方法。結果本組60例中,抗利尿激素分泌異常者42例,其中40例血鈉轉歸,2例死亡;腦性耗鹽綜閤徵者18例,其中17例血鈉轉歸,1例死亡。結論及早診斷導緻低鈉血癥髮生的根本原因,儘早對癥治療,能有效提高顱腦損傷患者的血鈉轉歸率,減少死亡髮生率。
목적탐토연구로뇌손상환자병발중추성저납혈증적진단급치료방법,총결기림상경험。방법선취아원60례로뇌손상병발중추성저납혈증환자적림상자료,분석총결기림상표현여진치방법。결과본조60례중,항이뇨격소분비이상자42례,기중40례혈납전귀,2례사망;뇌성모염종합정자18례,기중17례혈납전귀,1례사망。결론급조진단도치저납혈증발생적근본원인,진조대증치료,능유효제고로뇌손상환자적혈납전귀솔,감소사망발생솔。
Objective: To discuss the method of diagnosis and treatment of craniocerebral injury with central hyponatremia patients, and to sum up the clinical experience. Methods: selecting 31 cases of craniocerebral injury with central hyponatremia patients in our hospital, analyzing their clinical data, and summarizing clinical manifestation, diagnosis and treatment method. Results:In the 31 cases, 20 cases were SIADH, and the blood sodium level of 18 cases was normal, 2 cases died; 11 cases were CSWS, the blood sodium level of 10 cases was normal, 1 cases died. Conclusion: Early to diagnosis the cause of hyponatremia, and treatment as soon as possible, which can improve the probability of blood sodium level being normal, and reduce the death rate.