高钠血症患者的管理：积极治疗是否恰当？
The management of patients presenting with hypernatraemia: is aggressive management appropriate?
机构信息
Royal United Hospital, Bath, UK
出版信息
Clin Med (Lond). 2014 Jun;14(3):260-3. doi: 10.7861/clinmedicine.14-3-260.
Hypernatraemia is a common finding among patients presenting to hospital. The aim of this observational study was to discover what types of patients presented with hypernatraemia and whether they were appropriately managed. The management of hypernatraemia was audited against common standards of care. Hypernatraemia at presentation carries a poor prognosis and in this study management of hypernatraemia was found to be done poorly, possibly because for many patients aggressive management was deemed inappropriate. The majority of patients who present with hypernatraemia are older, dependent and/or suffer from cognitive impairment. Many of these patients do not have a reversible cause for their hypernatraemia. These patients need to be recognised, ideally in the community, so that inappropriate admission can be avoided, but also on presentation to hospital so that appropriate care, which may be end-of-life care, can be provided.
高钠血症是住院患者常见的病症。本观察性研究的目的是发现哪些类型的患者出现高钠血症，以及他们是否得到了适当的治疗。我们根据常见的护理标准来评估高钠血症的治疗方法。高钠血症患者的预后较差，本研究发现高钠血症的治疗效果较差，这可能是因为对于许多患者，积极的治疗被认为是不合适的。大多数出现高钠血症的患者年龄较大、依赖性强和/或存在认知障碍。这些患者中的许多人并没有导致高钠血症的可逆原因。这些患者需要被识别出来，最好是在社区中，以避免不适当的住院治疗，而且还需要在入院时被识别出来，以便提供适当的治疗，可能是临终关怀。
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