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題名 | 腦部損傷患者之水份與電解質維持=Fluid and Electrolytes Management in Brain Injured Patients |
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作者姓名(中文) | 李淑燕; 張秉宜; | 書刊名 | 中華民國重症醫學雜誌 |
卷期 | 4:2 2002.04[民91.04] |
頁次 | 頁128-135 |
分類號 | 419.73 |
關鍵詞 | 抗利尿荷爾蒙分泌不當症候群; 大腦耗鹽症候群; 低血鈉; 尿崩症; Syndrome of inappropriate accretion of anti-diuretic hormone; SIADH; Cerebral salt wasting syndrome; CSWS; Diabetes insipidus; DI; |
語文 | 中文(Chinese) |
中文摘要 | 腦部損傷所引起之低血鈉症狀,主要導因於腦部受損後,體內荷爾蒙(Hormone)分泌及神經控制受到影響,使體內水份與電解質原本之恆定狀態產生變化所致。臨床上,低血鈉發生之機轉可歸納為兩種:抗利尿荷爾蒙分泌不當症候群(syndrome of inappropriate secretion of anti-diuretic hormone, SIADH)及大腦耗鹽症候群(Cerebral salt wasting syndrome, CSWS)。本文除將引起腦部損傷低血鈉症狀之病生理機轉、臨床評估、治療與護理分別宓述比較外,並以一位因腦水腫、顱內壓增高引發低血鈉症狀之案例,就其臨床表現、醫療處直與病程進展,加以分析及討論,其能提供醫護人員參考。 |
英文摘要 | Hyponatremia following a severe brain damage is often seen in neurosurgical patients since the homeostasis of fluid and electrolytes in the human body have been disturbed. Clinically, hyponatremia can be caused based on two different mechanisms: syndrome of inappropriate secretion of anti-diuretic hormone (SIADH) and cerebral salt wasting syndrome (CSWS). This article has reviewed and compared the pathophysiologies, assessment, treatments and nursing regarding SIADH and CSWS, clinical manifestations and management of an increased intra-cranial pressure patient with hyponatremia is also been discussed. |
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