摘要
低钠血症是临床最常见的电解质紊乱之一,血钠浓度<135 mmol/L即可诊断为低钠血症,大部分慢性低钠血症患者症状较轻或被原发病掩盖而易被临床医师忽略或误诊。诊断精确和及时治疗可降低患者的病死率,从而减少住院时间,改善生活质量。低钠血症的治疗主要是病因治疗,其中抗利尿激素分泌不当综合征(SIADH)患者可考虑限水、高张盐水、使用抗利尿激素受体拮抗剂等。本文从诊断和治疗两方面综述了低钠血症的研究进展。
Hyponatraemia is one of the most common electrolyte disturbances in clinical practice, serum sodium concentration 〈135 mmol/L is diagnosed with hyponatraemia, and the majority of chronic hyponatraemia are prone to be ignored or misdiagnosed by clinicians due to its mild symptoms or being covered by primary diseases. Accurate diagnosis and timely treatment can reduce mortality, shorten the length of hospital stay, and improve the quality of life. Its treatment mainly focuses on allevaiating the etiological factors. For the patients with syndrome of inappropriate antidiuretic hormone secretion （SIADH）, limit of water, hypertonic saline, V2 receptor antagonist and other comprehensive treatment should be considered. In this article, we reviewed the progress of diagnosis and treatment of hyponatraemia.
出处
《中华老年多器官疾病杂志》
2018年第3期233-236,共4页
Chinese Journal of Multiple Organ Diseases in the Elderly
关键词
低钠血症
抗利尿激素分泌不当综合征
诊断
治疗
hyponatraemia
syndrome of inappropriate antidiuretic hormone secretion
diagnosis
treatment
