Explore the central hyponatremia diagnosis and treatment of.docVIP

 PAGE \* MERGEFORMAT 4 Explore the central hyponatremia diagnosis and treatment of [Abstract] Objective To investigate the central hyponatremia diagnosis and treatment. Methods Retrospective analysis of 29 cases of central hyponatremia in patients with the diagnosis and treatment. Central hyponatremia include cerebral salt wasting syndrome (CSWS) and the unusual syndrome of inappropriate antidiuretic hormone secretion (SIADH) are two types, similar to its clinical manifestations. CSWS treatment principle is added salt, overtime pay to restore blood volume and to maintain sodium balance; SIADH principle of treatment is to limit the amount of water into the lower blood volume, so that sodium back to normal. Results All patients with hyponatremia in 1 to 4 weeks have been corrected. Conclusion neurosurgical disease complicated by central hyponatremia can be diagnosed by serum sodium, once diagnosed, should be immediately added or restricted water, such as sodium rehydration therapy, otherwise it would be sicker, or even brain herniation and death. [Keywords:] central Hyponatremia / therapy; cerebral salt wasting syndrome; Syndrome of inappropriate antidiuretic hormone secretion Central hyponatremia is a severe brain injury, subarachnoid hemorrhage and ruptured aneurysm sellar region, one of a common complication after surgery. It includes the cerebral salt wasting syndrome (cerebral salt wasting syndrome, CSWS) and anti-diuretic hormone secretion anomalies syndrome (syndrome of inappropriate antidiuretic hormone secretion, SIADH) are two types, the clinical manifestations and electrolyte test results similar to the treatment guidelines On the contrary [1]. Our department from January 2000 ~ October 2007 a total of 29 cases of diagnosis and treatment of hyponatremia in patients with central, the author of its diagnosis and treatment are summarized below. 1 Materials and Methods 1.1 General Information of this group of 29 patients, including 18 males and 11 fem