Diagnosis and treatment for the syndrome of inappropriate antidiuretic hormone secretion in neurosurgery
- VernacularTitle:神经外科抗利尿激素异常分泌综合征的诊治
- Author:
Jianing CAI
;
Xiaopeng ZHANG
;
Guoliang WANG
- Publication Type:Journal Article
- Keywords:
Syndrome of inappropriate antidiuretic hormone;
Secretion cerebral salt wasting syndrome;
Hyponatremia
- From:
Journal of Clinical Surgery
2002;0(S1):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the diagnosis and treatment for the syndrome of inappropriate antidiuretic hormone secretion in neurosurgery.Methods Retrospective analyze clinical situation, treatment, and process of final diagnosis in 6 SIADH cases.Result Diagnosis of SIADH and differential diagnosis with CSWS is very difficult.In clinic the experimental therapy of restricting water and natrium is a important method of differential diagnosis,but also a effective therapy.Conclusion Speciality of SIADH is (1)hyponatremia(Na +≤128 mmol/L),natriuresis(Na +≥80 mmol/24h),(2)ADH assay is no significant for SIADH and CSWS,(3)no hypervolemia and edema exhibition,(4)restrict water is effective in treatment.
