J4 ›› 2010, Vol. 9 ›› Issue (2): 40-42.

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A Clinical Analysis of Natrium Metabolism Turbulence after Operation for Pituitary Adenomas

  

  1. Neurosurgery Department, Dali Teaching Hospital, Dali University, Dali, Yunnan 671000, China
  • Received:2009-06-28 Revised:2009-09-22 Online:2010-02-15 Published:2010-02-15

Abstract:

Objective: To explore the reasonable and effective preventative measure and therapeutical methods in the treatment of
natrium metabolism turbulence after the operation for pituitary adenomas. Methods: After operation, the natrium metabolism turbulence occurring in the 986 cases of pituitary adenomas from March, 2000 to April, 2005 was reviewed retrospectively to evaluate complications. Results: Hypernatrema occurred in 207 cases (21.0%), of which 201 suffering from diabetes insipidus syndrome (97.1%). Hyponatrema occurred in 112 cases (11.4%), of which 45 suffering from Cerebral Salt Wasting Syndrome (40.2%). Syndrome of lnappropriate Secretion of Antidiuretic Hormone(SIADH)occurred in 59 cases(52.7%). Conclusion:On one hand, to reduce the occurrence rate of natrium metabolism turbulence after operation for pituitary adenomas, we must avoid damaging their hypothalamus, hypophysis and blood vessel; on the other hand, for the natrium metabolism turbulence had happened, we must
definitize their diagnosis and take effective therapeutical methods in time. Most of such complications can be cured in a short term.

Key words: pituitaryb adenoma, diabetes insipidus syndrome, hypernatrema, hyponatrema, Cerebral Salt Wasting Syndrome

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