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通过对100例老年和100例青年内科患者(无心衰、肝硬化及肾脏疾患)的血钠水平比较,发现老年患者组低钠血症发生率高达17%,明显高于青年患者组(5%)(p<0.05),可见老年患者容易出现低钠血症。老年患者17例低钠血症者其基础疾病以肺部疾病多见(10例),病因以摄入减少为突出(7例)。老年患者组5例符合抗利尿激素分泌异常综合征占5%,还发现老年人SIADH治疗后又可因肺部感染而诱发反复多次发生。应引起临床医生注意。
By comparing the serum sodium levels in 100 elderly and 100 young medical patients (no heart failure, cirrhosis and kidney disease), the incidence of hyponatremia in elderly patients was found to be as high as 17%, significantly higher than that in young patients (5 %) (P <0.05), showing that elderly patients prone to hyponatremia. 17 cases of elderly patients with hyponatremia in its basic diseases of lung disease more common (10 cases), etiology to reduce the intake of prominent (7 cases). In the elderly group, 5 cases were found to be associated with 5% antidiuretic hormone secretion syndrome. It was also found that SIADH in the elderly could be induced repeatedly and repeatedly due to pulmonary infection. Should attract the attention of clinicians.