老年患者合并高钠血症的诊疗分析

目的探讨老年患者高钠血症的原因、治疗、预后。方法回顾性分析2013年7月至2015年5月15例高钠血症患者临床资料，并用统计学方法对上述资料进行分析。结果15例患者8例高钠血症纠正并存活，血清钠均〈160mm01／L。2例呼吸衰竭，家属放弃机械通气死亡，1例消化道大出血死亡，死亡时高钠血症已纠正。其余4例均死亡，死亡时高钠血症未纠正。结论老年患者高钠血症预后差，病死率高，因此要重视老年患者高钠血症的发生，应针对高钠血症的各种危险因素进行预防，及早发现，及早治疗，对降低其病死率、改善预后具有重要意义。

Objective To explore the reasons, treatment and prognosis of elderly patients with hypernatremia. Methods The clinical data from that elderly patients with hypernatremia in our hospital between July 2013 and May 2015 were reviewed. These data were analyzed with statistical method. Results In those 15 elderly patients with hypernatremia, 8 case were alive with corrected hypernatremia that serum sodium was lower than 160mmol/L; 2 case of respiratory failure whose relatives abandoned mechanical ventilation and 1 case of gastrointestinal hemorrhage were died with corrected hypernatremia; And 4 were died with uncorrected hypernatremia. Conclusions In cases of elderly patients with hypernatremia, there was poor prognosis and high mortality. Therefore, we should pay attention on the occurrence of the eldely patients with hypernatremia, and preventing risk factors, early detection and treatment may contribute more to reduce mortality and improve prognosis.