CAJ | 학술논문

目的：分析重型颅脑损伤后低钠血症的临床表现和治疗方案。方法36例重型颅脑损伤并低钠血症患者,诊断抗利尿激素分泌异常综合征(SIADH)5例,脑性盐耗综合征(CSWS)31例,对患者进行综合治疗并分析。结果重型颅脑损伤患者出现低钠血症时间为伤后3~12 d,平均5.8 d,低钠血症持续时间7~24 d,平均14.7 d, CSWS组与SIADH组中心静脉压(CVP)水平比较,差异有统计学意义(P<0.05)。结论准确鉴别重型颅脑损伤并中枢性低血钠的类型,有效治疗低钠血症,有利于患者康复。
목적：분석중형로뇌손상후저납혈증적림상표현화치료방안。방법36례중형로뇌손상병저납혈증환자,진단항이뇨격소분비이상종합정(SIADH)5례,뇌성염모종합정(CSWS)31례,대환자진행종합치료병분석。결과중형로뇌손상환자출현저납혈증시간위상후3~12 d,평균5.8 d,저납혈증지속시간7~24 d,평균14.7 d, CSWS조여SIADH조중심정맥압(CVP)수평비교,차이유통계학의의(P<0.05)。결론준학감별중형로뇌손상병중추성저혈납적류형,유효치료저납혈증,유리우환자강복。
Objective To analyze the clinical manifestations and treatment measures for hyponatremia after craniocerebral injury.Methods Among 36 severe craniocerebral injury complicated with hyponatremia patients, there were 5 cases diagnosed as syndrome of inappropriate antidiuretic hormone secretion (SIADH) and 31 cases diagnosed as cerebral salt wasting syndrome (CSWS). Analysis was made for patients after receiving comprehensive treatment.Results Hyponatremia occurred in severe craniocerebral injury patients in 3~12 d, with an average time as 5.8 d. Their hyponatremia lasted for 7~24 d, with an average time as 14.7 d. Comparing with the CVP levels between CSWS group and SIADH group, the difference had statistical significance(P<0.01). Conclusion Accurate diagnosis of severe craniocerebral injury complicated with central hyponatremia, and effective treatment are helpful for patients’ rehabilitation.