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中文摘要：
患者男性,61岁。半年前因不慎摔倒致头颅外伤,摔倒后有头晕、乏力,非喷射性呕吐胃内容物数次,但神志清晰、搀扶后可行走。当时头颅CT显示：左枕骨骨折、双侧额部少许硬膜下血肿、左额叶脑挫裂伤。外伤后24h复查头颅CT提示合并蛛网膜下腔出血。在当地医院住院期间多次测血钠均明显降低,波动于120~123 mmol/L,自觉头昏、食欲减退、肢体乏力明显。当地医院对患者头颅外伤以保守治疗为主,未使用甘露醇、速尿等药物。患者经静脉补钠、补水约28 d,每天补钠约8 g左右,补液1500~2000 ml,24 h尿量约2500 ml,但血钠仍无明显上升,波动于126~128 mmol/L。后改为口服盐胶囊（每粒装1.3 g食盐,约含0.51 g钠）每天3粒,同时限制饮水量,4~5 d后血钠恢复至134 mmol/L。
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