Kannan Lakshmi, Fahim Anfal
Nephrology, Pikeville Medical Center, Pikeville, USA.
Internal Medicine, Pikeville Medical Center, Pikeville, USA.
Cureus. 2023 Feb 23;15(2):e35350. doi: 10.7759/cureus.35350. eCollection 2023 Feb.
Dysnatremias or sodium disorders (either hyponatremia or hypernatremia) are the most common electrolyte problems in clinical medicine. They pose diagnostic and therapeutic challenges and have high mortality. Even mild changes in sodium levels from normal are associated with worse outcomes and considerable morbidity and mortality. We present a series of four patients with either hypo- or hypernatremia in different clinical scenarios requiring immediate treatment with close monitoring to avoid overcorrection. This case series shows that uncommon or unusual sodium disorders can happen in an otherwise usual situation.
钠代谢紊乱或钠失调(低钠血症或高钠血症)是临床医学中最常见的电解质问题。它们带来了诊断和治疗方面的挑战,且死亡率很高。即使钠水平与正常水平有轻微变化也会导致更差的预后以及相当高的发病率和死亡率。我们介绍了四名患者,他们分别患有低钠血症或高钠血症,处于不同的临床情况,需要立即治疗并密切监测以避免纠正过度。这个病例系列表明,在其他看似平常的情况下也可能发生不常见或异常的钠紊乱。