重型颅脑损伤患者低钠血症临床观察

The clinical detection of gravis type craniocerebral injury hyponatremia patients

目的：探讨重型颅脑损伤患者低钠血症的临床治疗。方法：采用回顾性分析的方法，分析我院收治的100例重型颅脑损伤患者低钠血症患者的临床资料。结果：100例低钠血症患者中，16例诊断为SIADH，经限水试验血钠回升。72例诊断CSWS在扩容、补钠治疗5-15d。4例低钠血症反复出现持续70d后完全纠正。5例因多脏器衰竭死亡。结论：应根据患者临床症状及实验室检查明确低钠血症病因，根据不同病因采取相应治疗方案是治疗颅脑损伤后低钠血症关键。

Objective To approach the clinical treatment of gravis type craniocerebral injury hyponatremia. Methods To retrospective analyze 100 cases clinical data gravis type craniocerebral injury hyponatrernia in our hospital. Results The 100 cases hyponatrernia patients, 16 cases was SIADH, which was remove on limit water test. The 72 cases was CSWS, when fluid expansion, reinforce Na cure 5 - 15d,4 cases hyponatrernia keep 70 d , which was rectification. 5 cases MOF were dead. Conclusion A ccording to clinical symptom and lib identify hyponatremia cause, A ccording to different reasons used right curing program, which were key to cure gravis type craniocerebral injury hyponatrernia.