Zieg Jakub
Department of Paediatrics, 2nd Faculty of Medicine, Motol University Hospital, Charles University in Prague, Praha, Czech Republic.
Acta Paediatr. 2014 Oct;103(10):1027-34. doi: 10.1111/apa.12705. Epub 2014 Jul 1.
Paediatric hyponatraemia is usually caused by an excess of antidiuretic hormone and may lead to serious neurological complications. It is challenging for clinicians to differentiate between conditions causing excess water and salt loss. This review analyses individual causes of hyponatraemia and focuses on optimal diagnostic algorithms and treatment strategies.
Correct evaluation of hyponatraemia requires proper understanding of the aetiology and appropriate management calls for a detailed history, physical examination and specific laboratory investigations.
小儿低钠血症通常由抗利尿激素分泌过多引起，可能导致严重的神经并发症。临床医生区分导致水和盐丢失过多的情况具有挑战性。本综述分析了低钠血症的个体病因，并着重探讨了最佳诊断算法和治疗策略。
正确评估低钠血症需要对病因有恰当的理解，而恰当的管理需要详细的病史、体格检查和特定的实验室检查。
