Votey S R, Peters A L, Hoffman J R
UCLA School of Medicine.
Emerg Med Clin North Am. 1989 Nov;7(4):749-69.
Patients with disorders of sodium and water metabolism are seen frequently in Emergency Departments, but in most cases these disorders do not require treatment. Severe hypo- and hypernatremia are relatively uncommon but can result in severe neurologic sequelae or death. Appropriate therapy, based on an understanding of the physiology involved, can reduce the morbidity and mortality associated with these disorders. A systematic approach to the assessment and management of patients with hypo- and hypernatremia is presented.
急诊科经常会遇到钠和水代谢紊乱的患者，但在大多数情况下，这些紊乱并不需要治疗。严重的低钠血症和高钠血症相对少见，但可导致严重的神经后遗症或死亡。基于对相关生理学的理解进行适当治疗，可降低与这些紊乱相关的发病率和死亡率。本文介绍了一种评估和管理低钠血症和高钠血症患者的系统方法。
