儿童下丘脑区肿瘤术后钠代谢的变化

首都医科大学学报 ›› 2005, Vol. 26 ›› Issue (2): 187-189.

儿童下丘脑区肿瘤术后钠代谢的变化

李德志, 王忠诚, 刘颖, 张玉琪, 马振宇

首都医科大学北京市神经外科研究所

收稿日期:2004-01-30 修回日期:1900-01-01 出版日期:2005-04-24 发布日期:2005-04-24

Disorders of Serum Sodium among Children after Hypothalamus Tumors Operations

Li Dezhi, Wang Zhongcheng, Liu Ying, Zhang Yuqi, Ma Zhenyu

Beijing Neurosurgery Institute, Capital University of Medical Sciences

Received:2004-01-30 Revised:1900-01-01 Online:2005-04-24 Published:2005-04-24

摘要/Abstract

摘要：

目的探讨儿童下丘脑区肿瘤术后钠代谢的变化规律和特点。方法对24例鞍区三脑室肿瘤患儿于术前、术后每日检测血电解质,留取24h尿检测尿钠;检测高血钠或低血钠高峰时的血清晶体渗透压。结果 24例患儿术后血钠正常者4例,单纯高血钠者6例,单纯低血钠者8例,6例患儿既出现高血钠又出现低血钠。术后高血钠时血清晶体渗透压较术前显著升高,24h尿钠较术前显著降低;而术后低血钠时血清晶体渗透压较术前显著降低,24h尿钠较术前显著升高。结论儿童下丘脑区肿瘤术后血钠紊乱多见,血钠改变与尿钠的变化密切相关,高钠血症时尿钠排出减少,而低钠血症的钠代谢特点为高尿钠、低血钠。

关键词: 鞍区, 三脑室, 术后, 高钠血症, 低钠血症, 儿童

Abstract:

Objective To analyze characteristics of the disorders of serum sodium among children after tumors operations in the hypothalamus region. Methods 24 children with the tumor in this region were studied. The electrolyte and the sodium in 24h urine were measured everyday before and after operation. The crystal osmotic pressures of serum were analyzed at the peak of serum sodium change. Results 4 children had normal serum sodium among the 24 Cases, 6 with hypernatremia, 8 with hyponatremia and 6 with both high and low serum sodium. In hypernatremia cases, the crystal osmotic pressure of serum increased and the urine sodium reduced sharply after operation compared with that of before operation. In hyponatremia cases, the crystal osmotic pressure of serum reduced and the urine sodium increased more significantly after operation than those of before operation. Conclusion The disorders of serum sodium among children after tumors operations in the hypothalamus region were common. The disorders of serum sodium were related to the changes of urine sodium. Hypernatremia is characterized by decreased urine sodium secretion. Hyponatremia is characterized by decreased serum sodium and increased urine sodium secretion.

Key words: seller region, the third ventricle, after operation, hypernatremia, hyponatremia, children

中图分类号:

R729

李德志;王忠诚;刘颖;张玉琪;马振宇. 儿童下丘脑区肿瘤术后钠代谢的变化[J]. 首都医科大学学报, 2005, 26(2): 187-189.

Li Dezhi;Wang Zhongcheng;Liu Ying;Zhang Yuqi;Ma Zhenyu. Disorders of Serum Sodium among Children after Hypothalamus Tumors Operations[J]. Journal of Capital Medical University, 2005, 26(2): 187-189.

[1]	刘晓倩, 孙凯, 王晓琳, 赵倩倩, 武笑笑, 沈方琪, 陈曦, 田晨旭, 吴迪, 宋春花, 许红霞, 丛明华, 石汉平, 贾平平. 15种营养/炎症指标对手术后肿瘤患者的预后预测能力比较[J]. 首都医科大学学报, 2025, 46(3): 410-419.
[2]	杨佩仪, 段超, 王生才, 金眉, 张大伟, 伏利兵, 于彤, 刘志凯, 马晓莉, 倪鑫, 苏雁. 单中心儿童头颈部恶性实体肿瘤临床特征及预后分析[J]. 首都医科大学学报, 2025, 46(3): 545-552.
[3]	郑宝英, 付涵宇, 薛冠华, 曹玲. 支气管肺泡灌洗液CARDS毒素在重症肺炎支原体肺炎患儿中的表达及检测意义[J]. 首都医科大学学报, 2025, 46(2): 333-339.
[4]	魏兴梅, 薛书锦, 高振橙, 李永新. 人工智能在人工耳蜗植入中的应用[J]. 首都医科大学学报, 2024, 45(6): 931-937.
[5]	沈梦雅, 薛书锦, 魏兴梅, 孔颖, 孙家强, 李永新. 人工耳蜗植入对内耳畸形患儿前庭功能影响的纵向研究：基于前庭诱发肌源性电位测试的比较分析[J]. 首都医科大学学报, 2024, 45(6): 980-988.
[6]	魏兴梅, 李永新. 内耳畸形人工耳蜗植入进展[J]. 首都医科大学学报, 2024, 45(6): 1001-1007.
[7]	刘扬, 高超, 王小杰, 张梁, 吴安石. 瑞马唑仑和丙泊酚麻醉对脑血管内手术的老年患者术后谵妄的影响[J]. 首都医科大学学报, 2024, 45(6): 1023-1028.
[8]	黄潇慧, 王新伟, 武洁. 中性粒细胞与淋巴细胞比率、血小板计数联合 D-二聚体对重症肺炎合并脓毒症患儿预后的预测价值[J]. 首都医科大学学报, 2024, 45(4): 721-726.
[9]	田笑如, 钱坤, 张培龙, 张毅. 老年肺癌患者行单孔胸腔镜下肺叶或肺段切除术后并发症危险因素分析[J]. 首都医科大学学报, 2024, 45(1): 118-126.
[10]	李玉佳, 官德秀, 郭姝, 郭景, 徐樨巍. 白细胞介素10受体A基因突变导致的极早发型炎症性肠病临床特点及基因分析[J]. 首都医科大学学报, 2024, 45(1): 140-148.
[11]	乔新伟, 邱煜婷, 李鹏, 吴静, 张澍田. 内镜下十二指肠乳头切除术后短期不良事件危险因素的初步探索[J]. 首都医科大学学报, 2023, 44(6): 982-989.
[12]	宋妍婷, 陈东, 商建峰, 方微, 龚珊珊, 连国亮, 张哲. 儿童原发性心脏肿瘤21例的临床病理分析[J]. 首都医科大学学报, 2023, 44(6): 1074-1080.
[13]	叶小波, 熊天宇, 朱光艺, 张慧博, 金木兰, 杨敏福, 邢念增, 牛亦农. 腹腔镜下根治性前列腺切除术后的肿瘤学和功能学结局：10年随访[J]. 首都医科大学学报, 2023, 44(3): 424-432.
[14]	王成尉, 袁琳淞, 周扬, 王会文. 儿童神经外科麻醉苏醒期谵妄和躁动的危险因素分析[J]. 首都医科大学学报, 2023, 44(2): 244-247.
[15]	王天赋, 李星月, 马明旭, 关大维, 许海燕, 宫瑾. 儿童生殖细胞瘤全脑放射治疗中自适应消除摆位累积误差新技术探讨[J]. 首都医科大学学报, 2023, 44(2): 328-334.