| 颅咽管瘤全切除术后低钠血症的诊断及处理 |
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| 引用本文： | 姚国杰,戴芳德,马廉亭,秦尚振,徐国政,龚杰,余泽,杨铭.颅咽管瘤全切除术后低钠血症的诊断及处理[J].中华神经外科疾病研究杂志,2002,1(1):32-33. |
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| 作者姓名： | 姚国杰 戴芳德 马廉亭 秦尚振 徐国政 龚杰 余泽 杨铭 |
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| 作者单位： | 430070,武汉,广州军区武汉总医院神经外科 |
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| 摘 要： | 目的：探讨颅咽管瘤全切除患术后发生低钠血症的诊断及处理方法。方法: 回顾性分析我科近4年颅咽管瘤全切除术后并发低钠血症的36例患。根据实验室检查、 临床症状及中心静脉压确定低钠血症的类型并给予对症处理。结果：1例死于继发性脑梗塞，1例自动出院，34例患低钠血症状恢复。结论：中枢性低钠血 症包括脑性盐耗综合征（CSWS）和抗利尿激素不适当分泌综合征（SIADH）。前应予以充分补钠、补水,可通过肠内及静脉两种方式进行补充；后却需要限水治疗。
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| 关 键 词： | 颅咽管瘤 低钠血症 脑性盐耗综合征 抗利尿激素分泌不当综合征 诊断 |
| 文章编号： | 1671-2897(2002)01-032-02 |
| 修稿时间： | 2001年9月17日 |
Diagnosis and management of hyponatremia after complete resection of craniopharyngioma |
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| YAO Guojie,DAI Fangde,MA Lianting,et al..Diagnosis and management of hyponatremia after complete resection of craniopharyngioma[J].Chinese Journal of Neurosurgical Disease Research,2002,1(1):32-33. |
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| Authors: | YAO Guojie DAI Fangde MA Lianting |
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| Institution: | YAO Guojie,DAI Fangde,MA Lianting,et al. Department of Newosurgery,Wuhan General Hospital of Guangzhou Command of PIA,Wuhan 430070,China |
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| Abstract: | Objective To study the diagnosis and management of hyponatremia after complete resection of craniopharyngioma. Methods Clinical data from 36 patients of craniopharyngioma with hyponatremia were analyzed retrospectively. Based on clinical presentation,laboratory results and central venous pressure, effective therapy was provided. Results Among the 36 cases, 34 were cured , 1 died of secondary cerebral infarction, and 1 left hospital intentionally. Conclusion Central hyponatremia consists of cerebral salt wasting syndrome (CSWS) and syndrome of inappropriate secretion of antidiuretic hormone (SIADH). Sufficient hydration or salt replacement is safe and effective for the former, but water limitation is necessary for the latter. |
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| Keywords: | Craniopharyngioma Hyponatremia Cerebral salt wasting syndrome Syndrome of inappropriate secretion of antidiuretic hormone |
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