Hannaway Ryan Karlus, Cowie Fiona, Jude Edward
Department of Diabetes and Endocrinology, Tameside Hospital NHS Foundation Trust, Ashton-Under-Lyne, Lancashire, UK.
BMJ Case Rep. 2012 Aug 1;2012:bcr0320126143. doi: 10.1136/bcr-03-2012-6143.
Hyponatraemia is the most common electrolyte abnormality, encountered in up to 30% of inpatients. Inappropriate management can have serious implications for patients; including demyelinating disease, coma and death. We have used a case report to identify the common problems, and provide useful strategies in management for which these can be avoided. The aim was to provide a framework which clinicians can adopt, in order to improve clinical practice and provide optimum outcome for the patient.
低钠血症是最常见的电解质异常,在高达30%的住院患者中出现。管理不当会给患者带来严重影响,包括脱髓鞘疾病、昏迷和死亡。我们通过一份病例报告来识别常见问题,并提供可避免这些问题的有用管理策略。目的是提供一个临床医生可以采用的框架,以改善临床实践并为患者提供最佳结果。