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为探讨儿童颅咽管瘤术后迟发性低钠血症的发生、发展及治疗 ,以提供合理的处理方法 ,对12例颅咽管瘤术后患儿血电解质、尿和血常规变化和治疗方法进行分析。结果为12例中发生迟发性低钠血症6例 ,出现低钠血症的时间为术后3天～8天 ,均伴有低血钾、低血氯等。通过限制补液量、补充高渗氯化钠和使用速尿等治疗后 ,血钠水平在术后4天～14天恢复正常。提示儿童颅咽管瘤术后迟发性低钠血症较为多见 ,术后2周内应严密监测血电解质和血、尿渗透压 ,不宜过早使用抗利尿激素制剂
To investigate the occurrence, development and treatment of delayed hyponatremia in children with craniopharyngioma after operation, in order to provide a reasonable treatment method, 12 cases of craniopharyngioma postoperative children with changes in blood electrolytes, urine and blood and Treatment methods for analysis. The results of 12 cases of delayed hyponatremia occurred in 6 cases, the occurrence of hyponatremia for 3 days to 8 days after surgery, are associated with hypokalemia, hypokalemia and so on. By limiting the volume of fluid, hypertonic sodium chloride supplementation and furosemide and other treatment, serum sodium levels returned to normal after 4 to 14 days. Suggest children with craniopharyngioma postoperative delayed hyponatremia is more common, after 2 weeks should be closely monitored blood electrolytes and blood, urine osmolality, should not be premature use of antidiuretic hormone preparations