[Water electrolyte disorders in the postoperative clinical picture of basal-diencephalitic tumors].
The paper deals with the relationship of homeostatic and motivational disorders in the postoperative clinical picture in basal-diencephalic tumors. The material included 354 clinical observations of: hypophysial adenoma (n = 135); craniopharyngioma (n = 71); tumors of the third ventricle (n = 88); basal meningiomas (n = 60). A comparative analysis of the findings allowed the authors to support that there are typical variants of changes in the patients' status, which reflect the nature of ion-osmotic disorders. The most significant mental disorders were transient hyperosmolar-hypernatriemic disturbances. The poor predictors were persistent hypernatriemia concurrent with evolving coma, systemic hemodynamic and respiratory disorders. Hyponatriemia is a better predictor of ionosmotic disorders, which requires a careful postoperative monitoring and a comparison of its findings with the specific features of intensive care performed.
Amcheslavskií
V G
VG
Bragina
N N
NN
Dobrokhotova
T A
TA
Voronina
I A
IA
Savin
I A
IA
Alieva
N A
NA
D000236:Adenoma / Q000473:pathology / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D001932:Brain Neoplasms / Q000601:surgery*; D003397:Craniopharyngioma / Q000473:pathology / Q000601:surgery; D004027:Diencephalon / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D006955:Hypernatremia / Q000209:etiology / Q000523:psychology; D007010:Hyponatremia / Q000209:etiology / Q000523:psychology; D008297:Male; D008579:Meningioma / Q000473:pathology / Q000601:surgery; D001523:Mental Disorders / Q000209:etiology; D011183:Postoperative Complications; D014883:Water-Electrolyte Imbalance / Q000209:etiology*