The analysis of diagnosis and therapy of severe craniocerebral injured patient with Hyponatremia
Objective To investigate the clinical features, pathogenesis and treatment of severe craniocerebral injury patient with hyponatremia. Methods Clinical features, diagnosis, prognosis, outcome and effective treatment experience of 51 patients with hyponatremia of 318 cases with severe craniocerebral injury which lasted for 5 years were reviewed. The pathogenesis of hyponatremia and the relevant factors and treatment were analyzed. Results The serum sodium of 51 patients was back to normal through supplement of sodium. Twenty-one patients eventually died.Conclusion The main mechanism of severe craniocerebral injury with hyponatremia is the syndrome of inappropriate antidiuretic hormone secretion and cerebral salt wasting syndrome. The treatment of hyponatremia lies in early detection, early diagnosis, and early treatment. Filling natrium through gastrointestinal tract is a simple, safe and effective method.
severe craniocerebral injuryhyponatrerniaSyndrome of inappropriate antidiuretic hormone secretion(SIADH)Cerebral salt wasting syndrome(CSWS)
国家科技期刊平台
NSTL
万方数据
维普
