Bertrand Y, Sinnassamy P, Bensman A
Arch Fr Pediatr. 1987 Feb;44(2):123-4.
We report the cases of 2 children in whom, during active nephrotic syndrome, simultaneous dilutional hyponatremia and increased hematocrit were observed. Fluid and electrolyte disorders rapidly became normal after albumin infusion, sodium and water restriction and diuretic administration. Increased hematocrit level, which reflects the decreased intravascular compartment, is observed rarely in the course of nephrotic syndrome and should not lead to administering water and salt. The mechanisms which control the salt-water balance in the course of the nephrotic syndrome remain unclear.
我们报告了2例儿童病例，在其活动性肾病综合征期间，观察到同时出现稀释性低钠血症和血细胞比容升高。在输注白蛋白、限制钠和水以及给予利尿剂后，体液和电解质紊乱迅速恢复正常。反映血管内液量减少的血细胞比容升高在肾病综合征病程中很少见，且不应导致给予水和盐。肾病综合征病程中控制水盐平衡的机制仍不清楚。
