脑出血并发中枢性低钠血症25例临床分析

Cerebral hemorrhage with central hyponatremia in 25 cases

目的探讨中枢性低钠血症的发病机制、诊断和治疗方法。方法在25例脑出血后中枢性低钠血症患者中，通过其临床表现及实验室检查明确诊断，并给予不同的治疗，观察其临床疗效。结果抗利尿激素分泌不当综合征应限水治疗，脑性盐耗综合征应补水和补盐治疗，全部病例低钠血症均得到纠正。结论中枢性低钠血症有两种不同表现形式，且治疗方法不同。正确认识和处理中枢性低钠血症有重要临床意义。

Objective To investigate the pathogenesis, diagnosis and treatment of central hyponatremia. Methods According to their clinical presentation and laboratory examination,25 cases who diagnosed as central hyponatremia were exerted different treatments;then observed their curative effect. Results The patients of syndrome of inappropriate antidiuretic hormone （SIADH） were limited liquid supplement, while the patients of cerebral salt wasting syndrome （CSWS） were supplied adequate liquid and salt. All patients＇ hyponatremia were corrected. Conclusions Central hyponatremia has two different clinical manifestation and treatments, accurate recognitionand treatment of central hyponatremia have significant clinical meanings.