摘要
目的探讨鞍区肿瘤术后水钠失衡的诊断、临床治疗情况及预后.方法回顾性分析144例病人,术前、手术当日及术后每日定时检测血钠、尿钠、尿比重及尿量等的变化,区分诊断,有针对性的治疗,观察预后.结果144例鞍区肿瘤手术,术后发生水钠失衡89例.包括尿崩症74例,抗利尿激素分泌不当综合征16例,脑性盐耗综合征6例,73例在2～4周内恢复.结论对于鞍区手术,术前激素替代,有效纠正病人状态;术中注意保护下丘脑-垂体轴结构和功能,术后监测血钠、尿钠、尿比重、尿量及中心静脉压的变化,区分诊断,有针对性地及时正确处理是改善此类病人预后的重要环节.
Objective To study diagnosis, treatment and prognosis of the patients with the water and blood sodium disorders after surgery. Methods The water and blood sodium in 144 patients with sellar tumors resected surgically were daily observed after surgery, and diagnosed before the treatment. Results In 144 cases of surgical operation, the imbalance of water and sodimn appeared in eighty, nine, including 74 cases of DI, 16 cases of SIADH and 6 cases CSWS. 73 cases recovered in 2～4 weeks. Conclusion The premedieafion, the preservation of hypothalamus-pituitary axis and the observation the change of seven indices, including blood sodium, urine sodium, specific gravity of urine, urine volume and central venous pressure etc, are important. The correct differential diagnosis and seemly treatment are beneficial for patients＇ prognosis.
出处
《中国实验诊断学》
2005年第5期672-674,共3页
Chinese Journal of Laboratory Diagnosis
关键词
鞍区肿瘤
尿崩症
抗利尿激素分泌不当综合征
脑性盐耗综合征
Sellar tumor
Diabetes insipidus
Syndrome of inappropriate antidiuretic hormone secretion
Cerebral salt wastingsyndrome
