从低张维持液到严重低钠血症：一例报告。
From hypotonic maintenance fluid to severe hyponatremia: a case report.
机构信息
Pediatric Intensive Care Unit, CHU de Caen, 14000, Caen, France.
Pediatric Intensive Care Unit, CHU de Nantes, 44000, Nantes, France.
出版信息
J Med Case Rep. 2021 Jun 7;15(1):315. doi: 10.1186/s13256-021-02889-0.
BACKGROUND
The principles for maintenance intravenous fluid prescription in children were developed in the 1950s. These guidelines based on the use of hypotonic solutions have been challenged regularly for they seem to be associated with an increased risk of hospital-acquired hyponatremia.
CASE PRESENTATION
We report the case of a 4-week-old Caucasian child admitted for acute bronchiolitis who received hypotonic maintenance fluids and developed severe hyponatremia (94 mmol/L) with hyponatremic encephalopathy.
CONCLUSION
This clinical situation can serve as a reminder of the latest recommendations from the American Academy of Pediatrics regarding the use of intravenous fluids that promote the use of isotonic fluids in children.
背景
儿童维持静脉输液处方的原则是在 20 世纪 50 年代制定的。这些基于使用低渗溶液的指南经常受到质疑，因为它们似乎与医院获得性低钠血症的风险增加有关。
病例介绍
我们报告了一例 4 周大的白人儿童，因急性细支气管炎入院，接受低渗维持液治疗，出现严重低钠血症（94mmol/L）合并低钠性脑病。
结论
这种临床情况可以提醒我们注意美国儿科学会关于静脉输液使用的最新建议，即提倡在儿童中使用等渗液。
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