鞍区肿瘤术后脑性盐耗综合征的观察和护理

摘要

The observation and nursing of 14 cases of sellar tumors with cerebral salt wasting syndrome postoperatively was sum-marized .The liquid and sodium were supplemented basing on balance rule ,patients’ mental state and consciousnesswere fo-cused on ,serum and urine sodium ,central venous pressure ,urine volume ,urine specific gravity and vital signswere monitored . Serum and urine sodium ,urine volume returned to normal in 12 cases of patients after 3~4 weeks of treatment .The level of serum sodium of 2 patients was still lower than normal ,but with clear consciousness and in good condition .Serum and urine sodium ,urine volume returned to normal after 6 months .%总结14例鞍区肿瘤术后脑性盐耗综合征的观察和护理。以出入平衡为原则进行补液、补钠，重点观察患者精神状态及意识情况，监测血钠、尿钠、中心静脉压、尿量、尿比重及生命体征等情况。12例患者经过3～4周的治疗，血钠、尿钠、尿量恢复正常；2例患者血钠仍低于正常，但神志清楚，一般情况良好。随访6个月恢复至正常。