siadh

Objective To explore the related factors of neonatal high-risk disease with SIADH .

目的探讨新生儿危重症伴抗利尿激素异常分泌综合征（SIADH）的相关因素。

Related factor analysis of neonatal high-risk disease with SIADH

新生儿危重症伴抗利尿激素异常分泌综合征的相关因素分析

Conclusion SIADH is caused by injury to the hypothalamus directly or in directly .

结论：SIADH是由于下丘脑直接或间接损伤所致。

Methods To retrospectively analyse and sum up 17 patients treated for SIADH with severe brain injury .

方法：回顾分析17例颅脑损伤并发SIADH资料。

Conclusion Monitoring the central venous pressure has guiding significance for the diagnosis and treatment of SIADH and CSW .

结论中心静脉压的监测对其诊治具有指导意义。

Maintenance fluid therapy ; Syndrome of inappropriate secretion of antidiuretic hormone ( SIADH );

抗利尿激素分泌异常综合征；

Objective We analyzed the clinical , biochemistry and pathologic characteristics of SIADH in order to improve the diagnosis and treatment in this disease .

目的为了提高对少见疾病的认识和诊断，分析不适当抗利尿激素分泌综合征（SIADH）的临床和生化病理特点。

【 Conclusion 】 Through monitoring the central venous pressure , CSWS can be quickly differentiated from SIADH .

【结论】通过中心静脉压测定，可以迅速区分CSWS和SIADH；

Results The causes of SIADH were complex , the clinical signs were not special and it was usually neglected by physicians .

结果SIADH的病因多种多样，临床表现及体征不具特异性，易被临床医师所忽视。

Treatment of syndrome of inappropriate antidiuretic hormone ( SIADH ) after completely resection of craniopharyngioma

颅咽管瘤全切术后抗利尿激素分泌异常综合征的治疗

SIADH and CSWS were originated HN pathogenesy 、 treat completely different , this must identify .

SIADH与CSWS引起的HN发病机制、治疗完全不同，必须加以鉴别。

Results Intracranial disorders , pulmonary disorders and inappropriate fluid infusion were the high-risk factors which can cause neonatal SIADH .

结果颅内疾患、肺部疾患和不适当的液体输入是引起新生儿危重症SIADH的危险因素。

Objective To investigate the clinical characteristics of Syndrome of Inappropriate Antidiuretic Hormone Secretion ( SIADH ) in the elderly .

目的探讨老年人抗利尿激素异常分泌综合征（SIADH）的临床特点。

Twenty pediatric patients undergoing major surgery were studied to investigate the syndrome of inappropriate antidiuretic hormone secretion ( SIADH ) after surgey .

动态监测20例大手术创伤患儿术后血管升压素异常分泌综合征（SIADH）的发生情况。

Conclusion Central hyponatremia consists of cerebral salt wasting syndrome ( CSWS ) and syndrome of inappropriate secretion of antidiuretic hormone ( SIADH ) .

结论中枢性低钠血症包括脑性盐耗综合征（CSWS）和抗利尿激素不适当分泌综合征（SIADH）。

Conclusion It is the key to ensuring effective treatment to correctly differentiate cerebral salt wasting syndrome ( CSWS ) and inappropriate ADH syndrome ( SIADH ) .

结论正确区分脑性盐耗综合征和抗利尿激素分泌不当综合征是保证有效治疗的关键。

Conclusion Severe pneumonia associated with SIADH may lead to expansion of the blood volume , and it is similar to the clinical manifestations of heart failure and it is not easy to distinguish between them .

结论重型肺炎并发SIADH可引起非心源性循环充血症状，易与心力衰竭混淆，临床医师应注意识别。

Conclusion : Hyponatremia , low plasma osmotic pressure , high urine sodium and the osmotic pressure of urine larger than plasma osmotic pressure are made up of the basis of the diagnosis of SIADH .

结论：低钠血症、低血浆渗透压、高尿钠及尿渗透压高于血浆渗透压是颅脑损伤后抗利尿激素分泌不当综合征的诊断依据。

Methods : The clinical data of three patients with SIADH after thoracotomy ( 1 radical operation of esophageal carcinoma , 1 radical operation of cardia carcinoma , 1 pulmonary lobectomy ) were analyzed retrospectively .

方法：对3例开胸手术（1例食管癌根治手术，1例贲门癌根治手术，1例右上肺叶切除术）后发生SIADH的临床资料进行回顾性分析。

Diabetes insipidus occurred postoperatively in 15 patients , SIADH in 3 , CSW in 4 , and hypernatremia in 6 ( 3 with diabetes insipidus ) .

发生尿崩症15例，SIADH3例，CSW4例，高钠血症6例（3例伴尿崩症）。

Conclusions : The pathogenesis and management of syndrome of inappropriate antidiuretic hormone ( SIADH ) is different from that of cerebral salt wasting syndrome ( CSWS ), and early diagnosis and therapy could reduce its morbidity and mortality .

结论：抗利尿激素分泌异常综合征和脑耗盐综合征的发病机制、临床表现和治疗都不相同，早期诊断和治疗可以降低病人的死亡率。

Conclusions Diagnosis of SIADH is very difficult before treatment , but effective treatment can be obtained if we adopt correcting strategy . In these patients , the diagnosis of SIADH was confirmed with the course of treatment , we call it as therapeutic diagnosis .

结论SIADH在治疗前诊断非常困难，但是采取正确的策略可以得到有效治疗，本组病例均在治疗中验证了SIADH的诊断，我们称之为治疗性诊断。

Conclusion CSWS is apt to appear after cerebral injury , especially contusion and laceration of hypothalamus and the region near to the 3rd ventricle which should be differentiated from syndrome of inappropriate antidiuretic hormone secretion ( SIADH ) .

结论颅脑伤特别是下丘脑、三脑室旁脑挫裂伤易出现脑性盐耗综合征，应区别于抗利尿激素分泌不当综合征；