高血糖时血钠浓度的可变反应。
The variable hyponatremic response to hyperglycemia.
作者信息
Moran S M, Jamison R L
出版信息
West J Med. 1985 Jan;142(1):49-53.
Abstract
Hyperglycemia may lower the plasma sodium concentration. Theoretical analyses have suggested that elevations in glucose concentration produce an invariant hyponatremic response. We propose, however, that change in plasma sodium concentration in response to hyperglycemia is variable and depends on (1) the distribution of total body water and solute, (2) the relationship between the gain of extracellular glucose and the loss of intracellular solute and (3) the intake and loss of solute and water. These factors are incorporated into a formulation of the relationship between the plasma sodium and glucose concentrations.
摘要
高血糖可能会降低血浆钠浓度。理论分析表明，葡萄糖浓度升高会产生恒定的低钠血症反应。然而，我们认为，高血糖引起的血浆钠浓度变化是可变的，并且取决于：（1）总体液和溶质的分布；（2）细胞外葡萄糖增加与细胞内溶质减少之间的关系；以及（3）溶质和水的摄入与丢失。这些因素被纳入血浆钠浓度与葡萄糖浓度之间关系的公式中。
相似文献
1
The variable hyponatremic response to hyperglycemia.高血糖时血钠浓度的可变反应。
West J Med. 1985 Jan;142(1):49-53.
2
Hyperglycemia-induced hyponatremia--calculation of expected serum sodium depression.高血糖诱导的低钠血症——预期血清钠降低值的计算
N Engl J Med. 1973 Oct 18;289(16):843-4. doi: 10.1056/NEJM197310182891607.
3
The hypertonic state.
N Engl J Med. 1977 Dec 29;297(26):1444-54. doi: 10.1056/NEJM197712292972608.
4
Hyperglycemia in advanced renal failure: sodium and water metabolism.晚期肾衰竭中的高血糖：钠与水代谢
Nephron. 1982;31(1):40-4. doi: 10.1159/000182612.
5
Whole-body volume regulation and escape from antidiuresis.全身容量调节与抗利尿状态的解除。
Am J Med. 2006 Jul;119(7 Suppl 1):S21-9. doi: 10.1016/j.amjmed.2006.05.004.
6
Computation of the excess glucose and Na deficit of hypo-osmolar hyponatremic hyperglycaemia.计算低渗性低钠血症高血糖症的多余葡萄糖和钠缺乏量。
Acta Diabetol. 2010 Jun;47(2):147-54. doi: 10.1007/s00592-009-0139-y. Epub 2009 Aug 12.
7
Interrelations between total exchangeable sodium, potassium, body water, and serum sodium and potassium concentrations in hyponatremic and normonatremic heart disease.低钠血症和正常血钠性心脏病中可交换钠总量、钾总量、机体水分以及血清钠和钾浓度之间的相互关系
Circulation. 1967 May;35(5):895-903. doi: 10.1161/01.cir.35.5.895.
8
Characterization of the state of body fluids in anuric hyperglycemic humans.无尿高血糖患者体液状态的特征
Miner Electrolyte Metab. 1987;13(2):126-32.
9
Age-related issues in volume overload and hyponatremia in the elderly.老年人容量超负荷和低钠血症中的年龄相关问题。
J Nutr Health Aging. 1997;1(3):146-50.
10
An improved method to compute the solute and water derangements of hyperglycaemia.一种计算高血糖症溶质和水紊乱的改进方法。
Eur J Appl Physiol. 2007 Dec;102(1):97-105. doi: 10.1007/s00421-007-0561-1. Epub 2007 Oct 2.
引用本文的文献
1
Quantifying the Deficits of Body Water and Monovalent Cations in Hyperglycemic Emergencies.量化高血糖急症中机体水分和单价阳离子的缺失情况。
J Clin Med. 2024 Dec 25;14(1):25. doi: 10.3390/jcm14010025.
2
Hypernatremia in Hyperglycemia: Clinical Features and Relationship to Fractional Changes in Body Water and Monovalent Cations during Its Development.高血糖症中的高钠血症：临床特征及其在发展过程中与机体水分和单价阳离子分数变化的关系。
J Clin Med. 2024 Mar 28;13(7):1957. doi: 10.3390/jcm13071957.
3
The Corrected Serum Sodium Concentration in Hyperglycemic Crises: Computation and Clinical Applications.高血糖危象时校正血清钠浓度：计算方法及临床应用
Front Med (Lausanne). 2020 Aug 25;7:477. doi: 10.3389/fmed.2020.00477. eCollection 2020.
4
Dialysis-associated hyperglycemia: manifestations and treatment.透析相关性高血糖症：临床表现与治疗。
Int Urol Nephrol. 2020 Mar;52(3):505-517. doi: 10.1007/s11255-019-02373-1. Epub 2020 Jan 18.
5
Serum Sodium Concentration and Tonicity in Hyperglycemic Crises: Major Influences and Treatment Implications.高血糖危象时的血清钠浓度与张力：主要影响因素及治疗意义
J Am Heart Assoc. 2019 Oct;8(19):e011786. doi: 10.1161/JAHA.118.011786. Epub 2019 Sep 24.
6
Hypertonicity: Clinical entities, manifestations and treatment.高渗性：临床病症、表现及治疗
World J Nephrol. 2017 Jan 6;6(1):1-13. doi: 10.5527/wjn.v6.i1.1.
7
Body fluid dynamics: back to the future.体液动力学：回到未来。
J Am Soc Nephrol. 2011 Dec;22(12):2166-81. doi: 10.1681/ASN.2011080865. Epub 2011 Oct 27.
8
Volume depletion versus dehydration: how understanding the difference can guide therapy.容量缺失与脱水：理解两者的差异如何指导治疗。
Am J Kidney Dis. 2011 Aug;58(2):302-9. doi: 10.1053/j.ajkd.2011.02.395. Epub 2011 Jun 25.
9
Noninvasive glucose monitoring: increasing accuracy by combination of multi-technology and multi-sensors.无创血糖监测：通过多技术与多传感器结合提高准确性
J Diabetes Sci Technol. 2010 May 1;4(3):583-95. doi: 10.1177/193229681000400312.
10
Noninvasive glucose monitoring: a novel approach.无创血糖监测：一种新方法。
J Diabetes Sci Technol. 2009 Mar 1;3(2):253-60. doi: 10.1177/193229680900300205.
本文引用的文献
1
DIFFERENCES BETWEEN SALINE AND MANNITOL DIURESIS IN HYDROPENIC MAN.缺水男性中生理盐水利尿与甘露醇利尿的差异
J Clin Invest. 1965 Feb;44(2):182-92. doi: 10.1172/JCI105133.
2
Urine flow and solute excretion during osmotic diuresis.
Am J Physiol. 1954 Jan;176(1):33-8. doi: 10.1152/ajplegacy.1953.176.1.33.
3
Ketosis.酮症
Kidney Int. 1981 Sep;20(3):416-25. doi: 10.1038/ki.1981.155.
4
Amino acid metabolism during prolonged starvation.长期饥饿期间的氨基酸代谢。
J Clin Invest. 1969 Mar;48(3):584-94. doi: 10.1172/JCI106017.
5
Amino acid metabolism in exercising man.运动人群的氨基酸代谢
J Clin Invest. 1971 Dec;50(12):2703-14. doi: 10.1172/JCI106771.
6
Splanchnic and peripheral glucose and amino acid metabolism in diabetes mellitus.糖尿病患者的内脏及外周葡萄糖和氨基酸代谢
J Clin Invest. 1972 Jul;51(7):1870-8. doi: 10.1172/JCI106989.
7
Starvation in man.人类的饥饿
N Engl J Med. 1970 Mar 19;282(12):668-75. doi: 10.1056/NEJM197003192821209.
8
Letter: Hyperglycemia-induced hyponatremia.
N Engl J Med. 1974 Mar 7;290(10):573.
9
Hyperglycemia-induced hyponatremia--calculation of expected serum sodium depression.高血糖诱导的低钠血症——预期血清钠降低值的计算
N Engl J Med. 1973 Oct 18;289(16):843-4. doi: 10.1056/NEJM197310182891607.
10
Osmotic diuresis.渗透性利尿
N Engl J Med. 1974 Oct 3;291(14):714-20. doi: 10.1056/NEJM197410032911408.
Zotero 插件