Sakarcan A, Bocchini J
Department of Pediatrics, Louisiana State University Medical Center, Shreveport 71130, USA.
Pediatr Nephrol. 1998 Nov;12(9):769-71. doi: 10.1007/s004670050543.
Cerebral salt wasting (CSW) is a syndrome of hyponatremia due to excessive natriuresis described in patients with central nervous system insult. We present a 29-month-old black male with tuberculous meningitis who developed CSW with depressed mineralocorticoid activity. The patient required hypertonic saline and ionotropic support. Mineralocorticoid supplementation effectively treated CSW.
脑性盐耗综合征(CSW)是一种因中枢神经系统损伤患者出现钠排泄过多而导致低钠血症的综合征。我们报告了一名29个月大的患结核性脑膜炎的黑人男性,他出现了伴有盐皮质激素活性降低的CSW。该患者需要高渗盐水和血管活性药物支持。补充盐皮质激素有效治疗了CSW。