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作者在发现行根治性颈廓清术的2例病人继发抗利尿激素分泌不当综合征(SIADH)后,对17例(包括前2例)做颈廓清术的病人进行了研究。男性12例,女性5例,年龄在45～73岁之间。这些病人均在接受了各种外科手术后行颈廓清术的。其中5例病人在术前1周和术后第3天作CT扫描。全部病人均在术后立即测定了尿和血浆渗透压、血钠、BUN和肌酐,以后每日2次,直到术后第5天,并在指导下进行液体治疗。
The authors conducted a study of 17 patients (including the first 2 patients) who underwent cervical dissection after finding that 2 patients with radical neck dissection had secondary antidiuretic hormone secretion syndrome (SIADH). There were 12 males and 5 females, aged between 45 and 73 years old. These patients underwent neck dissection after undergoing various surgical procedures. Five of the patients underwent CT scans 1 week before surgery and 3 days after surgery. Urinary and plasma osmolality, serum sodium, BUN, and creatinine were measured immediately after the operation in all patients, and thereafter, twice daily until the fifth day after surgery, and liquid treatment was performed under the guidance.