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动脉瘤性蛛网膜下腔出血后容易并发低钠血症,其中尤以前交通动脉瘤破裂后继发低钠血症的比率最高。临床上对这一现象尚未引起足够重视。加之对动脉瘤性蛛网膜下腔出血后并发低钠血症的病理机制认识存在不同观点,治疗上亦颇有分歧。本文报告7例前交通动脉瘤围手术期低钠血症的诊治经验,并结合文献对其病理机制进行探讨。
Aneurysmal subarachnoid hemorrhage complicated with hyponatremia, especially in the former traffic aneurysm rupture after the highest incidence of hyponatremia. Clinically, this phenomenon has not been given enough attention. Coupled with aneurysmal subarachnoid hemorrhage after complications of hyponatremia understanding of the pathophysiology of different points of view, the treatment is quite different. This article reports 7 cases of anterior aneurysm perioperative diagnosis and treatment of hyponatremia experience, combined with the literature on its pathological mechanisms are discussed.