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目的总结老年人颅脑损伤后低钠血症的发病机理、诊断及治疗。方法回顾性分析14例老年人颅脑损伤后低钠血症的类型,发病机制,临床表现及治疗。结果 14例中脑性盐耗综合征(CSWS)9例,抗利尿激素分泌不当综合征(SIADH)4例,心肾功能不全1例,根据各组病因不同给予相应治疗,疗效良好。结论老年颅脑损伤并发低钠血症以脑性盐耗综合征(CSWS)常见,其次为抗利尿激素分泌不当综合征(SIADH)和心肾功能不全等。治疗以补钠、限水、激素及对症治疗。
Objective To summarize the pathogenesis, diagnosis and treatment of hyponatremia after craniocerebral injury in the elderly. Methods The types, pathogenesis, clinical manifestations and treatment of hyponatremia in 14 elderly patients with craniocerebral injury were retrospectively analyzed. Results There were 9 cases of middle cerebral salt consumption syndrome (CSWS), 4 cases of syndrome of inappropriate secretion of antidiuretic hormone (SIADH) and 1 case of heart and kidney dysfunction. According to the different causes of each group, the treatment was given with good curative effect. Conclusions Senile craniocerebral injury complicated with hyponatremia is common in cerebrospinal fluid syndrome (CSWS), followed by SIADH and heart and kidney dysfunction. Treatment to make up sodium, water, hormones and symptomatic treatment.