After resection of sellar lesions in urine output during and after the relationship with hyponatremia.docVIP

 PAGE \* MERGEFORMAT 18 After resection of sellar lesions in urine output during and after the relationship with hyponatremia Of: Zhang Heng Wang Haijun He Dongsheng Wang Lingyan [Abstract] [Objective] To investigate the removal of sellar lesions in the incidence of postoperative hyponatremia and intraoperative urine output and postoperative polyuria and hyponatremia relationship. [Method] 112 cases of transsphenoidal sellar lesion resection, intraoperative and postoperative urine output records, operation duration and intraoperative fluid infusion, every 2 ~ 3 d after review the sodium level statistics the incidence of postoperative hyponatremia and the occurrence of polyuria compare the hyponatremia group and normal serum sodium group the incidence of postoperative polyuria, and intraoperative urine output, intraoperative fluid volume and duration of surgery if there are differences. [Results] The mean incidence of hyponatremia rate was 22.3%, which mainly delayed hyponatremia; hyponatremia group and normal group serum sodium of early transient polyuria (3 d in), 3 days after the incident of the urine and persistent polyuria (after 3 d and 3 d after the multi-exist in the urine) and there is no difference in incidence rate (P = 0.306,0.769 and 0.335, respectively); For patients with postoperative polyuria, intraoperative urinary output, fluid volume and duration of surgery no significant difference between the two groups, but intraoperative hyponatremia, urine and serum sodium higher than the ratio of the time control group (P = 0.037). [Conclusion] sellar lesion resection After a higher incidence of hyponatremia; intraoperative urine output and the ratio of the time, intraoperative urine output than the simple and more rapid response after multiple surgical procedures in urine on the pituitary - the pituitary stalk - the impact of the hypothalamus, can be used as predicting postoperative hyponatremia occurred indicators. [Keywords:] hyponatremia; po