论文部分内容阅读
目的:通过1例胃癌术后顽固性低钠血症患者的诊治过程分析,提高对抗利尿激素分泌失调综合征并发渗透性脱髓鞘综合征的认识。方法:收集1例2009年8月行胃癌根治术后发生顽固性低钠血症男性患者的临床资料,回顾分析其诊治及并发症的发生过程。结果:因对抗利尿激素分泌失调综合征产生的低钠血症机制认识不足,在纠正低钠血症的过程中补钠速度(每天)过快,导致并发渗透性脱髓鞘病变。结论:在治疗低钠血症时首先要分析其产生的原因,提高对抗利尿激素分泌失调综合征的认识,严格控制补钠速率,避免渗透性脱髓鞘病变的发生。
OBJECTIVE: To evaluate the diagnosis and treatment of intractable hyponatremia in patients with gastric cancer after operation, and to improve the understanding of anti-diuretic hormone syndrome and osmotic demyelinating syndrome. Methods: One case of clinical data of male patients with intractable hyponatremia who underwent radical gastrectomy in August 2009 was retrospectively analyzed, and its diagnosis, treatment and complication occurred. Results: Due to lack of understanding of the mechanism of hyponatremia caused by the syndrome of diuretic hormone imbalance, sodium supplementation (daily) was too fast in the course of correcting hyponatremia, leading to concurrent demyelinating lesions. Conclusion: In the treatment of hyponatremia, we must first analyze its causes and raise awareness of anti-diuretic hormone syndrome, and strictly control the rate of sodium supplementation to prevent the occurrence of osmotic demyelinating lesions.