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目的探讨低钠血症血钠水平的临床意义。方法回顾分析24例低钠血症的临床资料,根据低钠血症主要原因和缺钠不同,采取相应的治疗措施,如停用利尿剂、限水、补充营养、改善通气等。结果本组24例患者,20例经综合治疗,治愈或好转出院。严重低钠血症死亡2例,合并重度心衰死亡2例。结论低钠血症是多因素作用的结果,病因不同,处理不同。早发现,早治疗,预后良好。血钠降低程度直接影响预后,重症低钠血症或合并重要脏器衰竭者预后不良。
Objective To investigate the clinical significance of serum sodium level in patients with hyponatremia. Methods The clinical data of 24 patients with hyponatremia were retrospectively analyzed. According to the main causes of hyponatremia and different sodium deficiency, corresponding treatment measures such as diuretic withdrawal, water restriction, nutritional supplementation and ventilation improvement were adopted. Results The group of 24 patients, 20 cases of comprehensive treatment, cure or improvement discharged. Two cases died of severe hyponatremia, and two cases died of severe heart failure. Conclusions Hyponatremia is the result of multifactorial effects with different causes and different treatment. Early detection, early treatment, good prognosis. The degree of hyponatremia directly affect the prognosis, severe hyponatremia or poor prognosis of patients with important organ failure.