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目的 探讨鞍区肿瘤切除术后发生低钠血症的诊断及治疗。方法 回顾性分析我科近 3年来鞍区肿瘤手术切除 2 5例 ,19例多尿伴低钠血症 ,4例单纯多尿 ,根据临床症状 ,实验室检查确定低钠血症的类型并予对应治疗。结果 19例低钠血症全部纠正 ,7例永久性多尿 ;治愈 2 2例 ,重残 2例 ,昏迷自动出院 1例。结论 中枢性低钠血症包括脑性盐耗综合征 (CSWS)和抗利尿激素不适当分泌综合征 (SIADH) ,前者予静脉补充高渗盐水 ,后者却需限水治疗
Objective To investigate the diagnosis and treatment of hyponatremia after resection of tumor in the sellar region. Methods A retrospective analysis of surgical treatment of tumor in the sellar region in the past 3 years was done in 25 cases, 19 cases of polyuria with hyponatremia and 4 cases of simple polyuria. The type of hyponatremia was determined according to clinical symptoms and laboratory tests Corresponding treatment. Results 19 cases of hyponatremia were all corrected, 7 cases of permanent polyuria; cured 22 cases, 2 cases of severe disability, coma was discharged 1 case. Conclusions Central hyponatremia includes cerebral salt syndrome (CSWS) and antidiuretic hormone inappropriate secretion syndrome (SIADH). The former is supplemented with intravenous hypertonic saline, while the latter is limited to water treatment