Mahowald J M, Himmelstein D U
J Am Geriatr Soc. 1981 Apr;29(4):177-80. doi: 10.1111/j.1532-5415.1981.tb01761.x.
The records of 23 elderly patients admitted to a county hospital with dehydration and hypernatremia were reviewed. One of these patients had the highest serum sodium level (202 mEq/L) reported in an adult. The overall mortality of 48 percent was not related to the degree of hypernatremia. However, two-thirds of the 17 patients with acute bacteria infections died, whereas all 5 noninfected patients survived. Infection was not always apparent at the time of admission to the hospital. It is proposed that early and appropriate antibiotic therapy may reduce the high mortality associated with hypernatremia in the elderly.
对一家县医院收治的23例因脱水和高钠血症入院的老年患者的病历进行了回顾。其中一名患者的血清钠水平最高（202 mEq/L），这是有记录的成人最高值。48%的总死亡率与高钠血症的程度无关。然而，17例急性细菌感染患者中有三分之二死亡，而所有5例未感染患者均存活。入院时感染情况并不总是很明显。有人提出，早期和适当的抗生素治疗可能会降低老年人高钠血症相关的高死亡率。
