鞍区巨大肿瘤术后水钠紊乱的临床分析

Clinical Analysis of Water and Blood Sodium Disorders after Resecting Giant Tumors in Sellar Region

目的:探讨鞍区巨大肿瘤术后水钠紊乱的临床特点与治疗方法。方法:回顾性分析36例鞍区巨大肿瘤术后水钠紊乱的临床资料。结果:36例患者中28例出现尿崩症,其中9例术后1周内恢复,10例术后2～3周内恢复,5例1月内恢复,2例3月内恢复,2例术后半年仍有多饮,多尿。32例出现血钠紊乱,其中13例1周内恢复,16例术后2周内恢复,3例术后3周内恢复。结论:鞍区巨大肿瘤术后水钠紊乱情况复杂,在临床实践中水钠紊乱的各种类型常同时并存或相继发生,针对不同类型进行及时有效的治疗是关键。

Objective: To discuss the treatment of the patients with the water and blood sodium disorders after resecting giant tumors in sellar region. Method: Retrospective analysis was given to 36 patients with water and blood sodium after resecting giant tumors in sellar region. Result: In 36 patients , diabetes insipidus occurred in 28 patients after the operation. Among them, 9 patients recovered in one week, 10 patients in two or three weeks, 5 patients in one month , 2 patients in three months and 2 patients haven’t recovered in six month. 32 patients occurred blood sodium disorders after the operation, then 13 patients recovered in one week, 16 patients recovered in two weeks and 3 patients recovered in three weeks. Conclusion: Water and blood sodium disorders after removal of giant tumors in sellar region were quite complicated. All types of water and blood sodium disorders appeared contemporarily or in turns. It is a key point to give timely and effective therapy according to different etiopathogenisis.