| 中枢性低钠血症的临床特点 |
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| 引用本文： | 陈绪才,刘丽华,王国成. 中枢性低钠血症的临床特点[J]. 临床神经病学杂志, 2009, 22(3) |
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| 作者姓名： | 陈绪才 刘丽华 王国成 |
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| 作者单位： | 江苏省句容市人民医院神经内科,212400;江苏省句容市人民医院神经内科,212400;江苏省句容市人民医院神经内科,212400 |
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| 摘 要： | 目的探讨中枢性低钠血症的临床特点。方法回顾性分析34例中枢性低钠血症患者的临床资料。结果34例患者均因不同的脑部疾病住院治疗过程中,在原有疾病的基础上出现烦躁、嗜睡、意识障碍加深、呕吐、肢体抽搐及脱水表现;实验室检查:34例患者血钠均<135 mmol/L,尿钠均>260 mmol/d;8例中心静脉压检测,5例低于6 cmH2O。19例诊断为中枢性低钠血症——抗利尿激素不适当分泌综合征(SI-ADH),7例为中枢性低钠血症——脑性盐耗综合征(CSW S),另8例初诊为SIADH,因脱水治疗后症状加重,修正诊断为CSW S。19例SIADH患者给予限水、利尿治疗,15例CSW S患者予以水化、补钠治疗,数日后所有患者血钠、尿钠基本恢复正常,除3例仍昏迷外,31例病情均有好转。结论低血钠、高尿钠及意识状态改变是中枢性低钠血症的临床特征;SIADH以限水治疗为原则,CSW S则以水化和补盐治疗为原则。
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| 关 键 词： | 中枢性低钠血症 抗利尿激素不适当分泌综合征 脑性盐耗综合征 |
Clinical characteristics of central hyponatremia |
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| CHEN Xu-cai,LIU Li-hua,WANG Guo-cheng. Clinical characteristics of central hyponatremia[J]. Journal of Clinical Neurology, 2009, 22(3) |
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| Authors: | CHEN Xu-cai LIU Li-hua WANG Guo-cheng |
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| Affiliation: | CHEN Xu-cai,LIU Li-hua,WANG Guo-cheng.Department of Neurology,Jurong People's Hospital,Jurong 212400,China |
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| Abstract: | Objective To investigate the clincal characteristics of central hyponatremia.Methods The clinical data of 34 patients with central hyponatremia were analysed retrospectively.Results 34 patients with different cerebral diseases appeared dysphoria,sleepiness,aggravating disturbances of consciousness,vomiting,limb seizures and dehydration basis on primary diseases during the hospitalization.The laboratory examinations showed that the level of blood natrium was <135 mmol/L and urinary natrium was >260 mmol/d in... |
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| Keywords: | central hyponatremia syndrome of inappropriate ADH secretion cerebral salt wasting syndrome |
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