颅脑损伤后低钠血症的鉴别诊断及治疗

摘要

目的：提高颅脑损伤后低钠血症的鉴别诊断及治疗水平。方法回顾我院2003年12月至2014年10月神经外科住院患者中97例发生低钠血症的诊治经过。结果治愈89例，死亡6例，转上级医院治疗2例。结论颅脑损伤越重低钠血症发生率越高，认识并早期确诊抗利尿激素异常分泌综合征（SIADH），可明显提高治愈率。%Objective To improve the differential diagnosis and treatment level of hyponatremia after craniocerebral injury. Methods To retrospect the diagnosis process of 97 hyponatremia cases among neurosurgical inpatients from Dec 2003 to Oct 2014. Results 89 cured cases, 6 dead cases and 2 cases transferred to superior hospitals. Conclusion The more serious of craniocerebral injury, the higher incidence rate of hyponatremia. The cure rate of hyponatremia can be increased signiifcantly by recognizing and conifrming on early phase of Syndrome of Inappropriate Antidiuretic Hormone(SIADH).