腔内泌尿手术致低钠血性脑病的防治

Prevention and treatment of hyponatraemic encephalopathy induced by endourological surgery

目的:提高低血钠性脑病的防治水平。方法:回顾性分析2001～2008年收治的23例腔内泌尿手术低血钠性脑病的临床表现及诊治方法。结果:该组病人年龄偏大,该病最多发生于经尿道前列腺电切术(TURP),其次是经皮肾镜取石术(PNL)术后,患者多表现为烦躁、谵妄,恶心、呕吐,胸闷,嗜睡或昏迷等症状;血清钠有不同程度的降低。所有病人均治愈。结论:腔内泌尿外科病人易发生低血钠性脑病,治疗较简单,关键在于预防。

Objective ： To improve the level of diagnosis and treatment of hyponatraemic encephalopathy. Methods ：The clinical data were reviewed in 23 patients with hyponatraemic encephalopathy concerning the manifestation ,diagnosis and treatment between 2001 and 2008. Results ：The disease was mostly likely seen in elderly patients and secondary to transurethral resection of prostate （TURP） and followed by the post-operative patients of percutaneous nephrolithotripsy （PNL）. The symptoms were characterized by irritability, delirium, nausea, vomiting, chest tightness, drowsiness or coma in clinic, with reduced serum sodium level to a certain degree. All of the patients were cured. Conclusion ： Some patients un-dergone endourological surgery tend to develop hyponatraemic encephalopathy. The disease can be easily managed, but prevention should be the priority.