颅咽管瘤切除术后水钠代谢紊乱机制研究nbsp附102例分析（医疗卫生论文资料）.docVIP

颅咽管瘤切除术后水钠代谢紊乱机制研究nbsp附102例分析（医疗卫生论文资料） 文档信息 ： 文档作为关于“医学心理学”中“肿瘤学”的参考范文，为解决如何写好实用应用文、正确编写文案格式、内容素材摘取等相关工作提供支持。正文5996字，doc格式，可编辑。质优实惠，欢迎下载！ 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：颅咽管瘤切除术后水钠代谢紊乱机制研究nbsp附102例分析 1 1 对象与方法 3 2 结 果 3 3 讨 论 4 文2：颅咽管瘤切除术后水钠代谢紊乱的护理 5 1 临床资料 6 2 护 理 6 3 讨 论 8 参考文摘引言： 8 原创性声明（模板） 9 文章致谢（模板） 9 正文 颅咽管瘤切除术后水钠代谢紊乱机制研究nbsp附102例分析（医疗卫生论文资料） 文1：颅咽管瘤切除术后水钠代谢紊乱机制研究nbsp附102例分析 Mechanism of postoperative electrolyte disturbances of craniopharyngioma: analysis of 102 cases LIU Wen， XIN Jian， MA Zhenyu， et al Department of Neurosurgery， Beijing Tiantan Hospital， Beijing 100050， China Abstract: Objective To investigate into the causes and best treatments of postoperative electrolyte disturbance in craniopharyngioma patients. Methods Clinical materials of 102 craniopharyngioma patients were analyzed. Huge craniopharyngiomas were resected via the corpus callosum and fornix approach， and the urine volume， blood electrolyte and blood levels of antidiuretic hormone (ADH)， aldosterone (ALD) and cortisol were measured after the operation. The variatio of hormones were compared with the types of electrolyte disturbances in order to find the inter-relatiohip. Results All the cases presented electrolyte disturbances， 52 of which recovered completely after 2 weeks， 33 on the whole after 4 weeks， 12 after 6 weeks， and 5 need long-term regulation of electrolyte level. The deficiencies of ADH， ALD and cortisol were the main causes for the postoperative electrolyte disturbance. Conclusio Electrolyte disturbances after craniopharyngioma resection are caused by injury of the hypothalamus. The low level of ADH， ALD and corticosteroid contributes to the different types of electrolyte disturbances， and can be cured by providing correct hormones in time。 Key word: water-electrolyte imbalance; craniopharyngioma; aldosterone; vasopressi; diabetes iipidus 2001年1月~2005年6月，我们对102例主要向上生长突入第三脑室的巨大颅咽管瘤采用经胼胝体穹窿间入路切除手术，肿瘤全切率达90%以上。现分析其术后抗利尿激素 (ADH)、醛固酮