Objective To investigate cause and nursing strategy for hyponatremia patients with high paraplegia.Methods The materials of 51 high paraplegia patients with hyponatremia and risk factors of hyponatremia were retrospectively analyzed.Results There were 2 patients giving up the treatment and the sodium concentration of 49 patients returned to normal after treat-ment and nursing.Central origin in the spinal cord was the main cause of hyponatremia.Conclusion Hyponatremia is common in patients with high paraplegia.The vital signs,consciousness,urine and biochemical items should be monitored closely.Accurate nursing countermeasures could reduce the occurrence of hyponatremia,improve the life quality and survival rate of patients.

Objective To investigate cause and nursing strategy for hyponatremia patients with high paraplegia.Methods The materials of 51 high paraplegia patients with hyponatremia and risk factors of hyponatremia were retrospectively analyzed.Results There were 2 patients giving up the treatment and the sodium concentration of 49 patients returned to normal after treat-ment and nursing.Central origin in the spinal cord was the main cause of hyponatremia.Conclusion Hyponatremia is common in patients with high paraplegia.The vital signs,consciousness,urine and biochemical items should be monitored closely.Accurate nursing countermeasures could reduce the occurrence of hyponatremia,improve the life quality and survival rate of patients.

Objective To explore the effects of extended care on aged patients with hip fracture in island area.Methods Forty-Two aged patients with hip fracture,who accepted operation in Department of Orthopedics,Hainan Branch of Chinese PLA General Hospital from June 2014 to November 2015,were enrolled in this study and averagely divided into test group and control group by random number table.Patients in test group received extended care while patients in control group just.3 months after discharge,the differences Harris hip score and Barthel Index were compared between two groups.Results 3 months after discharge in test group,the scores of Harris score and Barthel index were higher compared those of control group (P <0.05). Conclusions Extended care can effectively improve the rehabilitation of aged hip fracture in island area and contribute to patients′self-care.

The tumors of central nervous system refer to a group of benign and malignant diseases originating from tissues or structures within the central nervous system. Common tumors of central nervous system are sporadic, but a few have familial onset. Compared with sporadic brain tumors, the clinical symptoms, diagnostic ideas and follow-up review plans of familial brain tumors are more complicated. The multidisciplinary diagnosis and treatment (MDT) mode usually refers to a treatment mode in which a case involving multiple organs and systems is discussed, and the best treatment plan is formulated for the patient based on the comprehensive opinions of various disciplines. Because familial brain tumors often involve multiple organs, multiple disciplines and multiple systems, and their low incidence leads to less clinical experience for neurosurgeons, the MDT model is more conducive to efficient diagnosis, treatment and management of familial brain tumors. This review elaborates on the neurosurgeon-led MDT model, and introduces the latest research on the epidemiology, genetic characteristics, clinical manifestations, diagnostic ideas and multidisciplinary management of familial brain tumors.