颅内感染并发脑积水患者低钠血症处理

The treatment of hyponatremia in patients with a complication of hydrocephalus following intracranial infection

目的探讨颅内感染后脑积水患者低钠血症的发生及治疗方法。方法对26例颅内感染后出现低钠血症的脑积水患者的临床资料进行了观察和分析。结果经过治疗患者症状明显改善,血钠水平在3～8 d后逐渐恢复正常。结论颅内感染后脑积水患者可出现低钠血症,属于脑性盐耗综合征,经过积极治疗一般转归良好。

Objective To discuss the treatment of hyponatremia in patients with a complication of hydrocephalus following intracranial infection.Methods A total of 26 cases of hyponatremia with a complication of hydrocephalus following intracranial infection were analyzed retrospectively.ResultsSymptoms were improved significantly after the treatment,and the serum sodium level and the plasma osmolality returned to the normal level gradually at 3 d to 8 d.Conclusion Cerebral salt-wasting is the potential cause of hyponatremia with a complication of hydrocephalus following intracranial infection.The prognosis is usually good after appropriate treatment.