钠与水平衡紊乱

Disorders of Sodium and Water Homeostasis.

作者信息

Guillaumin Julien, DiBartola Stephen P

机构信息

Emergency and Critical Care Service, Department of Veterinary Clinical Sciences, The Ohio State University, 601 Vernon L. Tharp Street, Columbus, OH 43210, USA.

Department of Veterinary Clinical Sciences, The Ohio State University, 601 Vernon L. Tharp Street, Columbus, OH 43210, USA.

出版信息

Vet Clin North Am Small Anim Pract. 2017 Mar;47(2):293-312. doi: 10.1016/j.cvsm.2016.10.015. Epub 2016 Dec 23.

DOI:10.1016/j.cvsm.2016.10.015

PMID:28017410

Abstract

This review article discusses normal and abnormal sodium balance in small animals. The terms and concepts central to understanding normal sodium and water balance are presented as well as of the physiology of body fluid compartments and the movement of fluid between those compartments. As dysnatremia is a very common disorder across the spectrum of critically ill patients, the main focus of the article is to present several clinical examples of both acute and chronic hypernatremia and hyponatremia and their practical, clinical management.

摘要

这篇综述文章讨论了小动物体内钠平衡的正常与异常情况。文中介绍了理解正常钠和水平衡的核心术语和概念，以及体液 compartments 的生理学和这些 compartments 之间的液体流动。由于低钠血症是危重症患者中非常常见的一种病症，本文的主要重点是列举急性和慢性高钠血症及低钠血症的几个临床实例及其实际临床处理方法。