摘要
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.
出处
《皖南医学院学报》
CAS
2009年第4期268-270,共3页
Journal of Wannan Medical College
关键词
泌尿外科
手术
脑病
血钠过少
endourology
surgery
encephalopathy
hyponatraemia