高钠血症：在儿科临床实践中仍被视为一个问题。
Hypernatraemia: still seen as a problem in paediatric practice.
作者信息
Ramadas D J, Moyes C D
机构信息
Eastbay Health Ltd, Whakatane.
出版信息
N Z Med J. 1994 Aug 10;107(983):311-3.
AIMS
To illustrate that hypernatraemia is still seen as a problem in paediatric practice and to discuss its management.
METHODS
A collection of four patients with hypernatraemia from different causes are reported. Recommended treatment include initial plasma expanders, where necessary, followed by gradual rehydration to prevent cerebral oedema using fluid containing 75-80 mmol/L of sodium until adequate urine output is observed, followed by a maintenance rate of solution containing 35-40 mmol/L of sodium over 48 h.
RESULTS
All four patients recovered completely and without complications.
CONCLUSIONS
Hypernatraemia is still seen in practice as an important problem. Recommended treatment is gradual rehydration with appropriate concentrations of electrolyte and glucose mixture.
目的
说明高钠血症在儿科临床实践中仍是一个问题，并讨论其治疗方法。
方法
报告了4例病因各异的高钠血症患者。推荐的治疗方法包括必要时先使用血浆扩容剂，随后逐步补液以预防脑水肿，使用含75 - 80 mmol/L钠的液体，直至观察到充足的尿量，之后在48小时内以含35 - 40 mmol/L钠的溶液维持补液速度。
结果
所有4例患者均完全康复且无并发症。
结论
在临床实践中，高钠血症仍是一个重要问题。推荐的治疗方法是用适当浓度的电解质和葡萄糖混合液逐步补液。
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