颅咽管瘤全切术后水钠平衡紊乱的治疗

目的 探讨颅咽管瘤全切术后水钠平衡紊乱的临床特点及治疗方法。方法 术前，手术当及术后每日定时检测血钠及观查尿量变化并根据其变化进行治疗。结果 ６０例颅咽管瘤手术患者中，（１）４７例术后出现尿崩症，有３８例病人术后２周恢复，７例术后４周内恢复，１例术后１年内恢复，１例病人术后７天死亡。（２）５２例术后出现血钠紊乱，其中，４８例术后４周同恢复，２３例术后２个月内恢复，１例１年后恢复。结论 颅咽管瘤全切

Treatment of water and sodium disorders after complete resection of craniopharyngiomas

Objective To study the effective treatment of the patients with the water and blood sodium disorders after surgery. Methods The water and blood sodium in 60 patients with craniopharyngiomas resected surgically were daily observed after surgery.Results In 47 patients with diabetes insipidus, the mild diabetes insipidus was in 18 patients, moderate diabetes insipidus in 23 patients, and severe in 6 patients. 38 patients recovered in two weeks after surgery, 7 patients in four weeks, one patient recovered in one year and one patient died seven days after surgery. In 52 patients with the sodium disorder. 48 patients recovered the normal blood sodium level within 4 weeks after surgery, 3 patients recovered within 8 weeks, and one did in one year. Conclusions The water and blood sodium disorder in patients with craniopharyngiomas after surgery appears to present complicated course. The patients with diabetes insipidus were frequent after operation but most of them may recover within about 4 weeks after surgery. Treatment of the sodium disorder in the patients with craniopharyngiomas after surgery could be carried in dependence on the different characteristics of each patient.