Secondary hyponatremia after Frankel Class-A acute cervical spinal cord injury
- VernacularTitle:Frankel-A型急性颈脊髓损伤后继发的低钠血症
- Author:
Li ZHANG
;
Qinlin CAI
;
Gengding DANG
;
Zhongjun LIU
- Publication Type:Journal Article
- Keywords:
Spinal cord injuries/compl;
Hyponatremia/epidemiol;
Neck;
Hematuria
- From:
Journal of Peking University(Health Sciences)
2000;32(4):369-373
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To define the occurrence rate, time course, and potential mechanism of hyponatremia in patients after Frankel Class-A acute cervical spinal cord injury. Methods: Analysis of data obtained from a retrospective review of blood and urine records of 35 hospitalized cases from 1992 to 1998. Results: Patients were admitted after (2.8±1.8) days postinjury and had been hospitalized for (52±13) days. Hyponatremia, the occurrence rate of which was 100%, developed at a mean time of (4.5±1.2) days postinjury, reached its nadir at the end of (14±3) days and recovered to normal at (39±10) days. Fifteen (42.88%) cases did not recover from hyponatremia in the hospitalized period. Patients were suffering from hypercapnia, hypernitremia, polyuria, and hyper-natriuresis besides kalemia. Conclusion: Severe and obstinate hyponatremia is a very common complication of cervical spinal cord injury. The mechanism may be related to the Cerebral Salt Wasting Syndrome.
