经胼胝体-透明隔间腔-穹隆间入路切除下丘脑错构瘤术后血电解质紊乱

目的 总结经胼胝体-透明隔间腔-穹隆间入路切除下丘脑错构瘤术后电解质紊乱的规律和治疗经验.方法 分析2001年11月至2008年5月37例病人术后经过.结果 37例患者有8例术后电解质正常,19例初始异常表现为低钠低氯,10例表现为高钠高氯.29例术后电解质紊乱患者出院时1例血钠略低,8例高钠高氯,20例完全正常.结论 术后24 h血浆钠氯离子表现最重要,低钠低氯在术后急性期对病人损害最大,血浆钠氯离子可随时发生剧烈变化,2周后病人电解质大多趋于稳定,表现为正常或高钠高氯.

Serum electrolyte disturbance after transcallosal transseptal interforniceal to resect hypothalamic hamartomas

Objective To analyze the changing and therapy of serum electrolyte disturbance after transcallosal transseptal interfomiceal to resect hypothalamic hamartomas. Methods Postoperative course and therapeutic experience in 37 cases from November 2001 to May 2008 were analyzed retrospectively. Results Among 37 patients, serum electrolyte was normal in 8 cases, 19 cases showed hyponatremia and hypochloremia primely, 10 showed hypernatremia and hyperchloremia. When they were discharged, serum electrolyte was normal in 20 cases, hypernatremia and hyperchloremia in 8 cases, hyponatremia in only 1 cases. Condusions The surum level of natrium and chloridion in first 24 hours after operation is very important. Acute hyponatremia is dangerous. The blood level of natrium can change suddenly. The electrolyte will become steady relatively after two weeks postoperation, showing normal or hypernatremia.