Department of Neuroendocrinology, Barrow Pituitary Center, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, University of Arizona College of Medicine and Creighton School of Medicine, 124 W Thomas Road, Suite 300, Phoenix, AZ 85013, USA.
Department of Internal Medicine and Endocrinology, St. Joseph's Hospital and Medical Center, Creighton University School of Medicine, 500 W Thomas Road, Suite 900B Phoenix, AZ 85013, USA.
Neurosurg Clin N Am. 2019 Oct;30(4):515-524. doi: 10.1016/j.nec.2019.05.011. Epub 2019 Jul 27.
Sodium perturbations are a common complication after pituitary surgery, with hyponatremia being the most frequent. Postoperative assessments should be tailored to the early and late periods, and monitoring sodium perturbations is recommended. Cerebral salt wasting is rare after pituitary surgery, and diagnosis and management can be challenging. Providing patient counseling and close postoperative follow-up is important to effectively manage diabetes insipidus and reduce hospital readmissions due to sodium perturbations.
钠紊乱是垂体手术后常见的并发症，其中低钠血症最为常见。术后评估应根据早期和晚期进行调整，建议监测钠紊乱。垂体手术后很少发生脑性盐耗综合征，诊断和治疗具有挑战性。为了有效地管理尿崩症并减少因钠紊乱导致的住院再入院，为患者提供咨询和密切的术后随访非常重要。
