Marcialis Maria Antonietta, Dessi Angelica, Pintus Maria Cristina, Irmesi Roberta, Fanos Vassilios
Department of Paediatrics, Section of Neonatal Intensive Care Unit, Puericulture Institute and Neonatal Section, Azienda Mista and University of Cagliari, Italy.
J Matern Fetal Neonatal Med. 2011 Oct;24 Suppl 1:75-9. doi: 10.3109/14767058.2011.607667.
Hyponatremia is very frequent in neonates, especially in VLBW. Recent data have shown that hyponatremia is not so benign as previously believed,and several clinical studies have indicated that preterms with mild to moderate chronic hyponatremia may experience poor growth and development retardation. The aim of this review is to present how to differentiate hypovolemic, euvolemic and hypervolemic hypernatremias, suggesting algorithms for practical management.
低钠血症在新生儿中非常常见，尤其是极低出生体重儿。最近的数据表明，低钠血症并非如之前认为的那样无害，多项临床研究表明，患有轻度至中度慢性低钠血症的早产儿可能生长发育迟缓。本综述的目的是介绍如何区分低血容量性、血容量正常性和高血容量性低钠血症，并提出实际管理的算法。
