鞍区肿瘤术后低钠血症的治疗方法(附51例分析)

Treatment scheme of hyponatremia after sellar tumors surgery:analysis of 51 cases

目的探讨鞍区肿瘤术后不同性质低钠血症的治疗方法。方法对鞍区肿瘤手术后51例低钠血症按“快补-调整-诊断”的原则进行分级治疗,在治疗过程中鉴别低钠血症的不同类型。结果术后产生一般性低钠血症8例,脑性盐耗综合征(CSWS)39例,抗利尿激素异常分泌综合征(SIADH)4例。本组低钠血症治愈49例。结论在鞍区肿瘤术后的低钠血症中,CSWS占大多数。应根据低钠轻重程度采取不同的补钠方法,必要时采取限水治疗。血浆和白蛋白在低血钠综合征的治疗中起重要作用。

Objective To study the treatment scheme of hyponatremia after sellar tumors surgery, Methods According to the ＂fast supply-adjust-diagnosis＂ principle, the grading treatment scheme of 51 cases of hyponatremia after sellar tumors surgery were prospectively studied. The different diagnoses of hyponatremia were made in treatment. Results Postoperative common hyponatremia occurred in 8 patients, cerebral salt wasting syndrome （CSWS） in 39, and syndrome of inappropriate secretion of the antidiuretic hormone in 4. Forty-Nine cases were cured. Conclusion Hyponatremia occurs frequently after sellar tumors surgery, and CSWS was the most common. The methods for salt supply were different according to degree of hyponatremia. If necessary, water should be limited. It is important to supply the patient with plasma and albumin in the treatment ofhyponatremia syndrome.