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目的探讨低钠血症伴有效循环血量减少休克的临床诊治分析。方法回顾2005年1月至2009年3月我科救治的休克表现的低钠血症16例临床资料进行总结分析。结果本组16例患者,12例经综合积极治疗,治愈出院。严重低钠血症死亡2例,1例因出现桥脑溶解,最后放弃治疗出院,合并重症心衰死亡1例。结论低钠血症是一个常见病、多发病,它是一个多因素作用的结果,病因不同,处理方法也不同,由于低钠血症对临床疾病预后影像较大,特别对伴有有效循环血量不足休克患者,病死率高,更应加强认识,积极治疗。
Objective To investigate the clinical diagnosis and treatment of hyponatremia accompanied with effective blood circulation to reduce shock. Methods The clinical data of 16 cases of hyponatremia treated with shock in our department from January 2005 to March 2009 were retrospectively analyzed. Results The group of 16 patients, 12 cases of active treatment by comprehensive, cured and discharged. Severe hyponatremia death in 2 cases, 1 case due to pontine lysis, and finally give up treatment and discharge, combined with severe heart failure in 1 case. Conclusions Hyponatremia is a common and frequently-occurring disease. It is a result of multiple factors. Different causes and treatment methods are also different. Because hyponatremia has a great effect on the prognosis of clinical diseases, especially for those with effective circulating blood Patients with insufficient shock, high mortality, but should strengthen understanding and active treatment.