无病例死于下丘脑损伤。
目的探讨颅咽管瘤手术中避免下丘脑损伤的的方法。
Objective To study the better way of avoidance of hypothalamus injury in surgical management of craniopharyngioma.
结果：6例死于术后颅内出血，5例死于下丘脑损伤，1例死于突发呼吸停止。
Results: 6 cases died from postoperative intracranial hemorrhage; 5 cases died from hypothalamus injury; 1 cases died from sudden respiratory arrest.
结果：颅咽管瘤患者的药物治疗以继发性癫痫、应激性溃疡、下丘脑损伤为主。
Result:For the treatment on craniopharyngioma patients, drugs were mainly used for secondary epilepsy, stress ulcer, and hypothalamus injury.
目的探讨下丘脑损伤与血钠紊乱的关系及血浆脑钠尿肽(BNP)在血钠紊乱发生中的作用。
Objective to analyze the relationship between lesion of the hypothalamus and disorders of serum sodium and to investigate the role of brain natriuretic peptide (BNP) in the disorders of serum sodium.
伤后2 4小时内出现高钠血症主要为原发性下丘脑损伤所致，2 4小时后出现者也与使用脱水药有关。
The occurrence of hypernatremia within 24 hours after injury was mainly induced by primary hypothalamus injury which was also related to the use of dehydrant.
结论充分利用适当的手术间隙，保护好下丘脑的结构和穿通动脉，可以降低下丘脑损伤的发生率和提高肿瘤的切除率，获得良好的疗效。
Conclusion Making full use of operating Spaces and protecting hypothalamic structure and artery branches may lower the incidence of injury to hypothalamus and achieve good surgical results.
结论充分利用适当的手术间隙，保护好下丘脑的结构和穿通动脉，可以降低下丘脑损伤的发生率和提高肿瘤的切除率，获得良好的疗效。
Conclusion Making full use of operating Spaces and protecting hypothalamic structure and artery branches may lower the incidence of injury to hypothalamus and achieve good surgical results.
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