婴幼儿重症肺炎合并低钠血症21例临床分析

Clinical Analysis of Twenty-one Severe Pneumonia Infants Complicated with Hyponatremia

目的探讨婴幼儿重症肺炎合并低钠血症的临床特点。方法回顾性分析21例婴幼儿重症肺炎合并低钠血症的临床表现、治疗及转归。结果婴幼儿重症肺炎合并低钠血症病因复杂,临床表现多样且缺乏特异性;死亡率达23.81%,发现低钠血症愈迟,低钠血症愈重,死亡率愈高。结论婴幼儿重症肺炎应及时监测血钠等电解质,应针对临床表现及早发现和处理低钠血症,以降低死亡率。

Objective To discuss clinical features of severe pneumonia infants complicated hyponatremia. Methods Retrospective analysis of twenty-one severe pneumonia infants＇ clinical performance, treatment and vesting were performed. Results Severe pneumonia infants complicated with hyponatremia had complex cause, variety clinical performance and lack of specificity. The mortality was 23.81% ,the later hyponatremia was found and the lower it was, the mortality was higher. Conclusions We should timely monitor blood sodium and other electrolytes. In order to decrease the mortality, it should be diagnosed and treated earlier as far as possible.