Koenders Mieke M J F, Molhoek E Margo, Apperloo Fred A J, Triepels Ralf H
St. Elisabeth Ziekenhuis, Tilburg.
Ned Tijdschr Geneeskd. 2014;158:A7086.
Because hyponatraemia can be caused by many disorders, the diagnostic approach to hyponatraemia can be challenging for physicians. Causes of hyponatraemia can be classified according to a combination of laboratory parameters (e.g. sodium levels and osmolality in serum and urine) and clinical parameters (e.g. volume status, medication). Based on the description of two patient cases, the differential diagnosis of hyponatraemia is discussed by combining these parameters.
由于低钠血症可由多种疾病引起,因此对于医生来说,低钠血症的诊断方法可能具有挑战性。低钠血症的病因可根据实验室参数(如血清和尿液中的钠水平及渗透压)和临床参数(如容量状态、用药情况)的组合进行分类。基于两个患者病例的描述,通过结合这些参数对低钠血症的鉴别诊断进行了讨论。