【摘要】 目的 探讨新生儿颅内出血合并低钠血症的原因及干预方法。 方法 回顾性分析25例颅内出血合并低钠血症新生儿的临床资料。 结果 患儿均表现为血钠下降、尿钠升高、尿比重升高、血浆平均渗透浓度下降。其中20例伴低血容量，在综合治疗基础上予输液、补钠治疗;5例无低血容量表现，予限制液体入量治疗。治疗1～3天血钠恢复正常，治疗1～2周后，治愈7例，好转18例。 结论 新生儿颅内出血合并低钠血症为脑性耗盐综合征或抗利尿激素分泌异常综合征所致，治疗应针对病因。

    关键词 新生儿 颅内出血 低钠血症

    Newborn encephalic bleeding with hyponatremia:a clinical analysis of25cases

    Liu Dong

    Department of Pediatrics，Jiangmen Center Hospital，Jiangmen529000.

    【Abstract】 Objective To discuss the cause and the intervention method of newborn encephalic bleeding complicated with hyponatremia.Methods The clinical data of25cases of newborn encephalic bleeding retrospective-ly were analyzed，which were complicated with hyponatremia.Results All the sufferers expressed to low blood sodi-um，high urine sodium，high urine specific gravity，low average infiltration consistence of blood plasma.We gave a supplement of liquid and sodium base on the integrated treatment for those20examples which were complicated with low blood capacitance.And limiting the intake of liquid for those5examples which weren't complicated with low blood capacitance.After the1～3days treatment ......