摘要
钠是体内细胞外液最重要组成成分,对于维持血压、肌肉和神经的功能起着重要作用。低钠血症定义为血清钠低于135mmol/L,是临床中常见的电解质紊乱。低钠血症不仅可引起严重的中枢神经系统损害,还可导致非心源性肺水肿等并发症,同时也是骨质疏松的危险因素。
出处
《中国医刊》
CAS
2011年第6期28-30,共3页
Chinese Journal of Medicine
参考文献17
-
1Joseph G. Verb'dis, Stephen R. Goldsmith, et al. Hyponatremia Treatment Guidelines 2007 : Expert Panel Recommendations [ J ] . The American Journal of Medicine,2007,120 ( 11 A) : S1 - S21.
-
2David H. Ellison, Tomas Berl. The Syndrome of Inappropriate An- tidiuresis[J]. N Engl J Med, 2007, 356:2064 -2072.
-
3Michael L. -The path-ophysiology and treatment of hyponatraemic en- cephalopathy : an update [ J] . Nephrol Dial Transplant ,2003,18: 2486 - 2491.
-
4李果 童伟.长时间耐力运动期间精氨酸加压素的渗透性和非渗薄性调节.J Clin Endocrinol Metab,2008,93:2072-2078.
-
5Carlos Ayus, Hyponatremia, Cerebral Edema, and Noncardiogenic Pulmonary Edema in Marathon Runners [ J]. Ann Intern Med, 2000,13:711 - 714.
-
6Georgia Stefanko, Bill Lancashire, et al. Pulmonary oedema and hy- ponatraemia after an ironman triathlon. BMJ Case Reports 2009, 4: 1764.
-
7Verbalis JG. Hyponatremia - induced osteoporosis. [ J ]. J Bone Miner Res 2010,25 (3) : 554 - 563.
-
8Chirag Vaidya. Warren Ho. Benjamin J. Freda. Management of hy- ponatremia:Providing treatment and avoiding harm [ J ]. Cleveland Clinic Journal of Medicine, 2010, 177:715 -726.
-
9王燕,顾锋.2007年低钠血症治疗指南[J].中国实用内科杂志,2010,30(9):793-796. 被引量:22
-
10Lohr JW. Osmotic demyelination syndrome following correction of hyponatremia: association with hypokalemia [ J ] . Am J Med, 1994,96: 408 - 413.
二级参考文献32
-
1郭俊芝,赵严,刘近春.肝硬化低钠血症转归分析[J].山西医药杂志,2005,34(1):15-16. 被引量:23
-
2许慧阳,侯为顺,蒯荟芬.血钠水平在肝硬化中的临床意义[J].实用全科医学,2006,4(3):278-279. 被引量:32
-
3张定凤.加强对重型肝炎的研究[J].中华肝脏病杂志,2006,14(9):641-642. 被引量:29
-
4Upanhyay A, Jaber BL, Madiaas NE. Incidence and prevalence of hyponatremia[J]. Am J Meb ,2006,119 ( suppl 1 ) : S30 - S35.
-
5Schrier RW. Treatment of hyponatremia[ J]. N Engl J Med, 1985, 312:1121 - 1123.
-
6Stems RH. Cappuccio JD, Silver SM, et al. Neurologic sequelae after treatment of severe hyponatremia: a multicenter perspective [ J ]. J Am Soc Nephrol, 1994,4 : 1522 - 1530.
-
7Verbalis JG. Hyponatremia: endocrinologic causes and consequences of therapy [J]. Trends Endocrinol Metad, 1992,3 : 1 - 7.
-
8Lin SH, Chau T, Wu CC, et al. Osmotic demyelination syndrome after correction of chronic hyponatremia with norm Saline [ J ]. Am J Med Sci ,2002,323:259 - 2304.
-
9Sonnenblick M, Friedlander Y, Rosin AJ. Diuretic-induced severe hyponatremia. Review and analysis of 129 reported patients [ J ]. Chest,1993,103:601 -606.
-
10Damaraju SC, Rajshekhar V, Chandy MJ. Validation study of a central venous pressure-based protocol for the management of neurosurgical patients with hyponatremia and natriuresis [ J ]. Neurosurgery, 1997,40 : 312 - 316; discussion : 316 - 317.
共引文献39
-
1芦红伟.新生儿低钠血症50例临床观察[J].山东大学学报(医学版),2014,52(S01):63-64.
-
2战祥辉,苗会娜,戴劲,何华亮.急性脑梗死并发低钠血症72例临床治疗分析[J].医学信息(医学与计算机应用),2014,0(28):52-52.
-
3王丽丹.ICU病房74例急性肾衰竭病因及预后分析[J].中国医疗前沿(学术版),2008(5):19-20.
-
4张焕军.低钠血症所致抽搐误诊4例分析[J].继续医学教育,2012,26(3):41-42. 被引量:1
-
5龚德华,季大玺,陶静,徐斌,任冰,刘云,张一丹,金中华,黎磊石.连续性肾脏替代治疗机器HF400临床应用的评价[J].肾脏病与透析肾移植杂志,2004,13(4):326-329.
-
6沈淑琼,胡伟新.低钠血症性脑病[J].肾脏病与透析肾移植杂志,2004,13(5):470-473. 被引量:10
-
7陈燕,王庆文.全血脂蛋白吸附治疗脂蛋白肾病[J].肾脏病与透析肾移植杂志,2004,13(5):493-498. 被引量:13
-
8方卫东,肖春玲,金晓华,谢丽珍,卓春英,肖丽萍.低置换液流量日间连续性肾脏替代治疗69例次临床应用分析[J].赣南医学院学报,2006,26(2):172-174.
-
9陶静,季大玺.多器官功能衰竭的支持疗法[J].肾脏病与透析肾移植杂志,2006,15(4):371-375. 被引量:3
-
10戴曦,赵奕华,邢昌赢.新型硫酸葡聚糖血脂分离系统治疗高脂血症的护理[J].护士进修杂志,2008,23(14):1312-1314. 被引量:2
同被引文献12
-
1谭迎春,冯虎,张轶,姚爱明,罗洪宗.急性颈髓损伤后低钠血症的治疗及相关因素分析[J].徐州医学院学报,2005,25(1):54-56. 被引量:7
-
2康辉,贾连顺,张亮,史国栋,顾晓民,方家虎.颈椎脊髓损伤患者并发低钠血症的相关因素分析[J].中国骨与关节损伤杂志,2008,23(1):1-3. 被引量:23
-
3Maynard FM Jr,Bracken MB,Creasey G,et al. International stan- dards for neurological and functional classification of spinal cord in- jury[J]. Spinal Cord, 1997,35(5) :266-274.
-
4Furlan JC ,Fehlings MG. Hyponatremia in the acute stage after trau- matic cervical spinal cord injury:clinical and neuroanatomic evi- dence for autonomic dysfunction[J]. Spine(Phila Pa 1976),2009,34 (5) : 501-511.
-
5Donati-Genet PC, Dubnis JM,Girardin E,et al. Acute symptomatic hyponatremia and cerebral salt wasting after head injury:an impor- tam clinical entity[J]. J Pediatr Surg, 2001,36(7) : 1094-1097.
-
6Peruzzi WT,Shapiro BA,Meyer PR Jr,et 81. Hyponatremia in acute spinal cord injury[J]. Crit Care Med, 1994,22(2) :252-258.
-
7Gowrishankar M,Sapir D,Pace K, eta/. Profound natriuresis,extra- cellular fluid volume contraction,and hypematremia with hyperton- ic losses following trauma [J]. GeriatrNephrol Urol, 1997,7 (2) :95 - 100.
-
8韩卢丽,王凤英,孙群周,许利辉,李良业,邓江海.急性颈髓损伤并低钠血症的临床分析[J].中国脊柱脊髓杂志,2009,19(1):19-21. 被引量:19
-
9李克俭,贺晓兵,丁可.急性颈髓损伤并发低钠血症的危险因素分析[J].局解手术学杂志,2010,19(1):35-36. 被引量:5
-
10康健,袁文,王新伟,朱大成,郑光锋,陈君生,高建伟.急性颈髓损伤后低钠血症影响因素的logistic多元回归分析[J].脊柱外科杂志,2011,9(1):27-30. 被引量:10
二级引证文献4
-
1邓丽,张旭.急性颈髓损伤并发低钠血症的危险因素分析及护理[J].检验医学与临床,2018,15(11):1658-1660. 被引量:8
-
2肖金敏,陈珍珍,阮敏.颈椎骨折高位截瘫患者电磁导航留置鼻肠管行早期肠内营养支持的护理[J].护理学杂志,2018,33(17):41-43. 被引量:18
-
3王丽.康复护理干预措施对脊柱微创手术患者的疼痛改善及预后影响[J].临床医药文献电子杂志,2019,6(56):141-141. 被引量:2
-
4刘健.对导致急性颈髓损伤患者并发低钠血症危险因素的探讨[J].当代医药论丛,2020,18(5):258-259.
-
1朱迎春.流行性腮腺炎的中枢神经系统损害[J].人民军医,2006,49(1):32-34. 被引量:3
-
2孙志敏,马冬均.肺炎支原体感染致中枢神经系统损害39例临床分析[J].新疆医学,2001,31(4):289-290. 被引量:1
-
3宋春梅,王长文,马洪波,李质馨.大鼠体内ET和NO水平与衰老的关系[J].吉林大学学报(医学版),2003,29(3):373-373.
-
4周仁伟.低血糖中枢神经系统表现15例分析[J].中国中医药咨讯,2010(7):162-162. 被引量:1
-
5吴飞仙.肺炎支原体致小儿中枢神经系统损害的诊治心得[J].中国初级卫生保健,2010,24(6):124-125. 被引量:1
-
6陈娇,钱晓明(综述),聂时南(审校).p38丝裂原活化蛋白激酶在急性肺损伤中作用的研究进展[J].中国急救医学,2013,33(11):1045-1048.
-
7朱峰,王慧敏.血管紧张素转化酶2的生理和病理作用[J].包头医学院学报,2012,28(3):120-121.
-
8温绍君,刘洁琳.血管内皮细胞功能研究概况[J].生殖医学杂志,2005,14(5):310-313. 被引量:15
-
9杨义晨,程金平,胡卫萱,王文华,吴旦,贾金平.甲基汞急性暴露下大鼠脑c-fos mRNA表达[J].中国公共卫生,2005,21(9):1074-1075. 被引量:2
-
10赵晓琰,赵宜为.SARS的病理特点[J].微生物学免疫学进展,2003,31(4):88-90. 被引量:2