CAJ | 학술논문

目的探讨神经外科患者并发低钠血症的临床特点及诊断与治疗.方法收集76例并发低钠血症神经外科患者的资料,分析其临床表现、实验室检查和治疗措施,根据不同病因分为四种类型,治疗基础性疾病的同时分别予以不同的治疗方法.结果因摄入不足或强力利尿脱水引起的低钠血症40例,尿崩症15例,脑性盐耗综合征12例,抗利尿激素不适当分泌综合征9例.76例低钠血症均得到纠正.结论神经外科患者并发低钠血症的常见原因是强力脱水利尿治疗的同时摄入不足、尿崩症、脑性盐耗综合征、抗利尿激素不适当分泌综合征,治疗上只要早期发现,及时针对病因处理,均可以较快的予以纠正.
목적 탐토신경외과환자병발저납혈증적림상특점급진단여치료.방법 수집76례병발저납혈증신경외과환자적자료,분석기림상표현、실험실검사화치료조시,근거불동병인분위사충류형,치료기출성질병적동시분별여이불동적치료방법.결과 인섭입불족혹강력이뇨탈수인기적저납혈증40례,뇨붕증15례,뇌성염모종합정12례,항이뇨격소불괄당분비종합정9례.76례저납혈증균득도규정.결론 신경외과환자병발저납혈증적상견원인시강력탈수이뇨치료적동시섭입불족、뇨붕증、뇌성염모종합정、항이뇨격소불괄당분비종합정,치료상지요조기발현,급시침대병인처리,균가이교쾌적여이규정.
Objective To discuss the clinical characteristics,differential diagnosis and management principles of various types of hyponatremia in neurosurgical patients.Methods The clinical data of 76 cases of hyponatremia in neurosurgical patients were analyzed retrospectively.According to etiological factors,all patients were treated corresponding to their differential diagnosis.Results In 76patients,hyponatremia occurred due to inadequate supplement and diuretic in 40 cases,diabetes insipidus in 15,cerebral salt wasting syndrome in 12 and syndrome of inappropriate secretion of antiduretic hormone in 9.All patients had been treated to return to new balance.Conclusions The common causes of hyponatremia in neurosurgical patients are inadequate sodium supplement and diuretic,diabetes insipidus,cerebral salt wasting syndrome and syndrome of inappropriate secretion of antidiuretic hormone.As long as hyponatremia is detected early and treated timely to the above causes,all patients could have good prognosis.