Differential diagnosis and treatment of hyponatremia after the tumor resection in the region of sella turcica
- VernacularTitle:鞍区肿瘤术后低钠血症的鉴别诊断及治疗
- Author:
Gangge CHENG
;
Zhen YIN
;
Lianqiang DONG
- Publication Type:Journal Article
- Keywords:
tumor in sellar area;
neurosurgical procedures;
cerebral salt wasting syndrome;
syndrome of inappropriate antidiuretic hormone
- From:
Medical Journal of Chinese People's Liberation Army
1983;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the etiology, differential diagnosis and effective treatment of hyponatremia after the tumor resection in sellar area. Methods 25 patients with tumor in sellar area which have suffered hyponatremia after surgery were retrospectively analyzed. Among them 14 cases were underwent a whole resection, 6 cases great part resection, and 5 cases partial resection. Water and blood sodium and central vein pressure in these patients were daily examined after surgery. Methods of treatment were adopted according to the results of examination. Results All the patients have suffered hyponatremia after surgery, accounting for 21.4% of all patients with tumors in sellar area in the same period. There are 10 of syndrome of inappropriate antidiuretic hormone (SIADH) and 15 of cerebral salt wasting syndrome (CSWS). Twenty-four patients were cured, one died of pneumonia(ARDS). Conclusions After surgery, the hyponatremia is prone to emergence in the patients with tumors in sellar area and simultaneously invading the hypothalamus. SIADH and CSWS are easily confused in clinical diagnosis, so a careful differentiation should always be done and followed a right therapy.
