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低血钠性意识障碍的诊治
引用本文:王胜利,宋勇,刘飞,翟广.低血钠性意识障碍的诊治[J].中国实用神经疾病杂志,2009,12(4).
作者姓名:王胜利  宋勇  刘飞  翟广
作者单位:1. 河南夏邑县人民医院,夏邑,476400
2. 郑州大学第一附属医院神经外科,郑州,450052
摘    要:目的 探讨低钠性意识障碍的病因、诊断及治疗.方法 回顾分析15例低钠性意识障碍病人的临床表现、实验室资料及治疗效果.结果 营养性低钠9例,SIADH 1例,CSWS 5例.营养性低钠及CSWS病人经补钠、补液,而SIADH病人经限水、限钠治疗,意识障碍均短时间恢复或好转.结论 神经外科低钠性意识障碍多由营养性缺钠所致.治疗应根据不同的病因采取不同的治疗措施.

关 键 词:脑损伤  低血钠  脑性耗盐综合征  抗利尿激素不适当分泌综合征

Diagnosis and management of neurosurgical patients with hyponatremia-associated impairment of consciousness
Wang Shengli,Song Yong,Liu Fei,et al..Diagnosis and management of neurosurgical patients with hyponatremia-associated impairment of consciousness[J].Chinese Journal of Practical Neruous Diseases,2009,12(4).
Authors:Wang Shengli  Song Yong  Liu Fei  
Institution:Wang Shengli,Song Yong,Liu Fei,et al.Department of Neurosurgery,Xiayi People's Hospital,Xiayi 476400,Henan,China
Abstract:Objective To discuss the etiology,diagnosis and treatment for hyponatremia-associated impairment of consciousness in neurosurgical patients.Methods Clinical presentation,laboratory data,treatment and prognosis of the fifteen patients with hyponatremia-associated impairment of consciousness were studied retrospectively.Results Of the fifteen impaired consciousness patients,nine patients were caused by nutritious hyponatremia,5 patients were caused by CSWS,while only one was due to SIADH.Treatment for nutriti...
Keywords:Brain injury  Hyponatremia  Cerebral salt wasting syndrome  Syndrome of inappropriate secretion of antidiuretic hormone  
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