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目的:探讨西宁地区危重患儿高钠血症的常见病因及治疗策略。方法:745例危重患儿资料,就28例高钠血症的发病原因、治疗策略及影响预后进行了相关分析。结果:西宁地区危重患儿高钠血症发生率3.76%(28/745例);血钠峰值为(157.86±10.08)mmol/L;原发病主要为腹泻病53.57%,其次为肺炎25%和颅脑疾病14.28%;血钠下降速度控制在(0.5～1.0)mmol/(L·h)的患儿均冶愈。结论:控制血钠下降速度是治疗成功的关键,强调个体化治疗方案。
Objective: To explore the common causes and treatment strategies of hypernatremia in critically ill children in Xining area. Methods: The data of 745 cases of critically ill children were analyzed in relation to the etiology, treatment strategy and prognosis of 28 cases of hypernatremia. Results: The incidence of hypernatremia in critically ill children was 3.76% (28/745) in Xining. The peak value of serum sodium was (157.86 ± 10.08) mmol / L. The primary diseases were mainly diarrhea 53.57%, pneumonia 25% And 14.28% of craniocerebral diseases. The rate of descending blood sodium control was in the range of (0.5 ~ 1.0) mmol / (L · h). CONCLUSIONS: Controlling the rate of descending sodium is the key to successful treatment, emphasizing individualized regimens.