【摘要】 目的 研究重型颅脑外伤伴低钠血症的病因,发病机制,诊断及治疗。 方法 回顾分析我院2008年1月至2009年12月重型颅脑外伤伴低钠血症患者28例的诊断和治疗。结果 4例诊断为SIADHS,经限水治疗后血钠回升,24例诊断为CSWS其中23例在扩容、补钠治疗10 d左右,病情好转;1例因原发性脑干损伤并发MODS而死亡。结论 脑性盐耗综合征与抗利尿激素分泌异常综合征发病机制和治疗措施完全不同;应正确掌握分型,对改善预后有十分重大的意义。

    【关键词】重型 ;颅脑外伤;低钠血症;诊断;治疗

    clinical analys of 28 cases with severe craniocerebral injury hyponatremia

    GU Di-heng,CHEN Hai-tao,WANG Jian,et al.

    【Abstract】 Objective To research the of etiology,pathogenesis,diagnosis,and treatment.Severe head trauma research with hyponatremia.Methods A retrospective hospital in January 2008-2009 December severe head trauma 28 patients with hyponatremia in the diagnosis and treatment of patients.Results SIADHS,4 cases diagnosed by water treatment,24 patients were serum sodium,23 patients were diagnosed CSWS at 10 d treatment for expansion,and to added sodium,improved,1 cases of primary brainstem injury MODS concurrent and death.Conclusion cerebal saltwasting syndrome of inappropriate secretion of antidiuretic hormone secretion with abnormal syndrome pathogenesis and treatment measures are completely different,grasp type and improve outcomes have very important significance. ......