CHEN Yong, QIN Chuan, ZHANG Zheng-bao, et al. Treatment and clinical analysis of hyponatremia after head injury[J]. Journal of Chongqing Medical University, 2011,36(9):1138-1140.
CHEN Yong, QIN Chuan, ZHANG Zheng-bao, et al. Treatment and clinical analysis of hyponatremia after head injury[J]. Journal of Chongqing Medical University, 2011,36(9):1138-1140. DOI: 10.13406/j.cnki.cyxb.2011.09.020.
且不会增加抗利尿激素异常分泌综合征(Syndrome of inappropriate antidiuretic hormone
SIADH)的发生率。
Abstract
Objective:To discuss the treatment and clinical characteristics of hyponatremia after brain trauma.Methods:238 patients with complicated hyponatremia after brain injury were enrolled in this retrospective study.According to treatment
all patients were divided into two groups:hypertonic saline solution injecting group(HSSI group) and control group.500 ml of 3% sodium chloride was injected per-day in 107 patients of HSSI group when serum sodium were lower than 135 mmol/L
and routine fluid infusion according to physiological requirement was performed in 131 patients of control group.Recovery rate and recurrence of hyponatremia were measured to be compared between two groups.Results:Recovery rate of serum sodium in HSSI group was significantly higher than that in control group.Conclusion:HSSI had a significant therapeutic effect on patients with complicated hyponatremia after traumatic brain injury;moreover
it did not increase the incidence of SIADH.
关键词
颅脑损伤低钠血症浓氯化钠治疗抗利尿激素异常分泌综合征
Keywords
head injuryhyponatremiasaline solutionsyndrome of inappropriate antidiuretic hormone(SIADH)