颅咽管瘤手术后钠紊乱的治疗。
Treatment of sodium disorders after surgery of craniopharyngioma.
作者信息
Huang W, Shi X
机构信息
Department of Neurosurgery, Beijing Tiantan Hospital, Beijing 100050.
出版信息
Chin Med Sci J. 2000 Dec;15(4):246-8.
OBJECTIVE
To study the treatment of the patients with blood sodium disorder after craniopharyngioma surgery.
METHOD
The blood sodium in 44 patients with craniopharyngiomas was daily examined from operative to post-operative days. Hypernatremia is defined as [Na] > 145 mmol/l, and hyponatremia as [Na] < 135 mml/L.
RESULTS
Of the 44 patients, 36 developed sodium disorder. Among them, simple hyponatremia was 16 patients, simple hypernatremia was 9 patients, and alternative sodium disorder was 11 patients.
CONCLUSION
The blood sodium disorder in patients with craniopharyngiomas after surgery appears to present complicated changes. Three types of blood sodium disorder could be determined as simple hyponatremia, simple hypernatremia, and alternative sodium disorder. Treatment of the sodium disorder in patients with after surgery could be carried in accordance with the above three types.
目的
研究颅咽管瘤手术后血钠紊乱患者的治疗方法。
方法
对44例颅咽管瘤患者从手术当天至术后每日检测血钠。高钠血症定义为[Na]>145 mmol/L，低钠血症定义为[Na]<135 mmol/L。
结果
44例患者中，36例发生血钠紊乱。其中，单纯低钠血症16例，单纯高钠血症9例，交替性血钠紊乱11例。
结论
颅咽管瘤患者术后血钠紊乱呈现复杂变化。可确定三种血钠紊乱类型为单纯低钠血症、单纯高钠血症和交替性血钠紊乱。术后患者血钠紊乱的治疗可根据上述三种类型进行。
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