| 鞍区肿瘤术后并发抗利尿激素异常分泌综合征的观察与护理 |
| |
| 引用本文： | 朱建萍,姜秀文,秦光照,沈励.鞍区肿瘤术后并发抗利尿激素异常分泌综合征的观察与护理[J].齐鲁护理杂志,2006,12(16):1525-1526. |
| |
| 作者姓名： | 朱建萍 姜秀文 秦光照 沈励 |
| |
| 作者单位： | 上海市东医院,上海市,200438 |
| |
| 摘 要： | 目的:探讨鞍区肿瘤术后并发抗利尿激素异常分泌综合征(SIADH)患者的观察与护理方法。方法:对62例并发SIADH患者的资料进行回顾性临床分析。结果:患者血清钠均<130mmol/L;血浆渗透压<270msom/L;尿渗透压/血浆渗透压>1;尿钠>20mmol/L,给予增大皮质醇药物剂量或予以ACTH、限水、限钠或补钠等治疗,患者在2周左右恢复正常。结论:密切观察患者生命体征、意识变化,监测患者尿量、尿比重和血清钠、血尿渗透压等实验室指标,有助于SIADH的诊断与治疗,加强对患者饮食及预防并发症等护理,可降低病残率及病死率,促进患者早日康复。
|
| 关 键 词： | 鞍区肿瘤 抗利尿激素异常分泌综合征 低钠血症 护理 |
| 文章编号： | 1006-7256(2006)08-1525-02 |
| 修稿时间： | 2006年5月8日 |
Observation and nursing care of syndrome of inappopriate ADH secretion after resection of saddle tumor. |
| |
| Zhu Jianping,Jiang Xiuwen,Qin Guangzhao,et al..Observation and nursing care of syndrome of inappopriate ADH secretion after resection of saddle tumor.[J].Journal of Qilu Nursing,2006,12(16):1525-1526. |
| |
| Authors: | Zhu Jianping Jiang Xiuwen Qin Guangzhao |
| |
| Abstract: | Objective:To explore the observation and nursing care of syndrome of inappopriate ADH secretion(SIADH)after resection of saddle tumor.Methods: The clinical data of 62 caseswere analyzed retrospectively.Results: after increase the dose of corticosterone,ACTH,sodium restriction or supplement,all patients were recovery in 2 weeks.Conclusion:Attentive observation of vital sign and conscious,monitoring some kinds of laboratory data such as are helpful for the diagnose and treatment of SIADH .Intensive observation and the predictability nursing care can decrease fatality rate,and promote the rehabilitation of patients. |
| |
| Keywords: | Saddle tumor Syndrome of inappopriate ADH secretion Hyponatremic syndrome Nursing |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
