Lazúrová Ivica
Vnitr Lek. 2017 Fall;63(9):593-597.
Hyponatremia defined as serum sodium lower than 135 mmol/L is the most common electrolyte abnormality in outpatients and also in hospitalized patients. It has been documented that hyponatremia is associated with significantly higher morbidity, mortality and longer hospitalization stay. Hyponatremia is manifested by variety of symptoms, from mild up to life threatening conditions. Syndrome of inappropriate antidiuresis (SIAD) is the most common type of hyponatremia. This article presents new aspects in the etiology, diagnosis, differential diagnosis ant treatment of the SIAD according to European guidelines.Key words: arginin-vasopressin-syndrome of inappropriate antidiuresis - diagnosis - hyponatremia - treatment.
低钠血症定义为血清钠低于135mmol/L，是门诊患者以及住院患者中最常见的电解质异常。有文献记载，低钠血症与显著更高的发病率、死亡率以及更长的住院时间相关。低钠血症表现为各种各样的症状，从轻症到危及生命的情况。抗利尿激素分泌失调综合征（SIAD）是最常见的低钠血症类型。本文根据欧洲指南介绍了抗利尿激素分泌失调综合征在病因、诊断、鉴别诊断及治疗方面的新观点。关键词：精氨酸血管加压素-抗利尿激素分泌失调综合征-诊断-低钠血症-治疗
