论文部分内容阅读
高血钠症指血钠过高(通常>145mmol/L)并伴血渗透压过高的情况。除个别情况外(输入含钠盐过多的液体等),高血钠症主要是由失水引起,有时也伴失钠,但失水程度大于失钠。高血钠症主要临床表现为神经精神症状,早期主要症状为口渴、尿量减少、软弱无力、恶心、呕吐和体温升高;体征有脱水。晚期则出现脑细胞脱水的临床表现,如烦躁、易激惹或精神淡漠、嗜睡、抽搐或癫痫样发作和昏迷;体征有肌张力增
Hypernatremia refers to hypernatremia (usually> 145mmol / L) and accompanied by blood osmotic pressure is too high. Except in a few cases (such as the input of too much liquid sodium, etc.), hypernatremia is mainly caused by dehydration, sometimes accompanied by loss of sodium, but greater than the loss of water loss of sodium. The main clinical manifestations of hypernatremia as neuropsychiatric symptoms, the main symptoms of early thirst, decreased urine output, weakness, nausea, vomiting and fever; signs of dehydration. Late appeared in the clinical manifestations of brain cell dehydration, such as irritability, irritability or apathy, lethargy, convulsions or epileptic seizures and coma; signs of increased muscle tension