Hsu Richard, Tong Anna, Hsu Chaur-Dong
Wayne State University School of Medicine, Detroit, Michigan, USA.
Department of Obstetrics and Gynecology, Detroit Medical Center, Detroit, MI, USA.
Case Rep Obstet Gynecol. 2021 Feb 4;2021:8850725. doi: 10.1155/2021/8850725. eCollection 2021.
Although the incidence of preeclampsia complicated by hyponatremia is reportedly rare, the effects on the maternal outcome are severe and life-threatening. Here, we describe a case of a patient with preeclampsia who coded postpartum and was discovered to have hypervolemic hyponatremia and subsequently recovered after fluid diuresis and resolution of hyponatremia. While hyponatremia in preeclampsia is rare, it is even more unique for it to lead to cardiopulmonary arrest consequently. Therefore, sodium levels and fluid status should be monitored closely and promptly corrected without delay to prevent cardiopulmonary arrest in patients with preeclampsia.
虽然据报道子痫前期合并低钠血症的发生率很低，但对孕产妇结局的影响严重且危及生命。在此，我们描述了一例子痫前期患者产后出现心脏骤停的病例，该患者被发现患有高血容量性低钠血症，随后经液体利尿和低钠血症纠正后康复。虽然子痫前期患者出现低钠血症的情况很少见，但更独特的是它会因此导致心肺骤停。因此，应密切监测子痫前期患者的钠水平和液体状态，并及时纠正，以防止心肺骤停。
