Maxillofacial Plastic and Reconstructive Surgery
- Volume 15 Issue 1
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- Pages.7-10
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- 1993
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- 2288-8101(pISSN)
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- 2288-8586(eISSN)
SYNDROME OF INAPPROPRIATE ANTIDIURETIC HORMONE
악안면(顎顔面) 외상환자에서 나타난 항이뇨(抗利尿)호르몬 분비장애증후군(分泌障碍症候群)
- Lee, Sang-Chull (Department of Oral & Maxillofacial Surgery, College of Dentistry, Kyung-Hee University) ;
-
Kim, Yeo-Gab
(Department of Oral & Maxillofacial Surgery, College of Dentistry, Kyung-Hee University) ;
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Ryu, Dong-Mok
(Department of Oral & Maxillofacial Surgery, College of Dentistry, Kyung-Hee University) ;
- Lee, Baek-Soo (Department of Oral & Maxillofacial Surgery, College of Dentistry, Kyung-Hee University) ;
- Choi, Jae-Yong (Department of Oral & Maxillofacial Surgery, College of Dentistry, Kyung-Hee University)
- 이상철 (경희대학교 치과대학 구강악안면외과학교실) ;
-
김여갑
(경희대학교 치과대학 구강악안면외과학교실) ;
-
류동목
(경희대학교 치과대학 구강악안면외과학교실) ;
- 이백수 (경희대학교 치과대학 구강악안면외과학교실) ;
- 최재용 (경희대학교 치과대학 구강악안면외과학교실)
- Published : 1993.03.31
Abstract
The final purpose of oral & maxillofacial trauma is functional & esthetic repair. Nowadays, severe trauma involving with the head & neck trauma is increasing. After these trauma occurs, the patients develop similar signs & symptoms with the postoperative healing period, as like thurst, hypertention, excitability, disorientation, convulsion, et al. Because SIADH which is one of important complications after head trauma, shows similar clinical features after operation, we should pay attention to detect it. SIADH shows characteristic laboratory findings, as like hyponatremia, urine hyperosmolality, increased plasma ADH level, continued renal excretion of sodium, so we can easily distinguish it from postoperative conditions. This paper reports two cases, one was the case of the mandibular fracture and cerebral contusion, which included permanent SIADH. The other was the case of the multiple teeth injury and cerebral contusion, which was transient SIADH. We treated them with water restriction, hypertonic saline, and diuretics.
Keywords