重型颅脑损伤合并中枢性低钠血症与CT、MRI表现的相关性研究

Relevant research of central hyponatremia and CT/MRI performance after severe craniocerebral injury

目的探讨颅脑损伤后中枢性低钠血症与CT、MR表现的相关性。方法通过临床常用指标对颅脑损伤后的脑性盐耗综合征(CSWS)和抗利尿激素分泌不当综合征(SIADH)作出诊断,观察其CT、MR表现.并作统计学分析。结果根据秩和检验,伤后CT、MR1表现为:额、颞叶多发脑挫裂伤伴硬膜下血肿和SAH、脑肿胀与发生CSWS或SIADH呈正相关(P<0.005)。结论广泛脑挫裂伤同时伴硬膜下血肿和蛛网膜下腔出血、外伤性脑肿胀发生CSWS和SIADH的机会较大。

Objective To study the relation between central hyponatremia and GT/MRI performance after severe craniocerebral injury. Methods The diagnosis of CSWS and SIADH through clinical usual markers was made and their CT/MRI performance after severe craniocerebral injury was observed and statistically analyzed, Results Based on Kruskul-Walls test, the CT/MRI performance showed that they had many brain injuries in their frontal lobe and temporal lobe and hematoma under the cerebral dura mater and SAH, the brain swelling presented the correlation with SIADH or CSWS（P〈0.005）. Conclusion The incidence rate of CSWS or SIADH with widespread brain injury accompanied by hematoma under the cerebral dura mater,SAil and traumatic brain swelling was higher.