Bender F H
Department of Medicine, West Virginia University, Morgantown 26506, USA.
Am J Kidney Dis. 1998 Nov;32(5):829-31. doi: 10.1016/s0272-6386(98)70141-6.
Both hyponatremia and its rapid correction can cause neurological disorders. Slowly correcting hyponatremia (especially when asymptomatic) at a rate of 0.5 mEq/L/h is recommended; however, little information exists about treatment of hyponatremia in patients requiring dialysis. We report a case of successfully treated hyponatremia using continuous venovenous hemodialysis with a specially prepared dialysate containing a lower than usual sodium concentration.
低钠血症及其快速纠正均可导致神经功能障碍。建议以每小时0.5 mEq/L的速度缓慢纠正低钠血症(尤其是无症状时);然而,关于需要透析的患者低钠血症的治疗信息很少。我们报告了一例使用含有低于常规钠浓度的特制透析液进行持续静脉血液透析成功治疗低钠血症的病例。