老年重症肺炎合并低钠血症临床诊治的研究进展

Advances in Clinical Diagnosis and Treatment of Severe Pneumonia Complicated with Hyponatremia in the Elderly

老年重症肺炎近年来发病率不断增加,患者常因感染、缺氧、酸中毒等多种原因出现低钠血症,严重影响患者预后。但由于低钠血症缺乏特异性的临床表现,易被原发病或其他合并症状掩盖,若诊断不及时,极易导致漏诊或误诊,若治疗不及时或治疗不当,则易加重患者病情甚至致死,故对老年重症肺炎患者常规进行血钠浓度监测,早发现、早治疗低钠血症对改善患者的预后极为重要。本文就老年重症肺炎合并低钠血症临床诊治方面的研究进展进行综述。

The incidence of severe pneumonia in the elderly has been increasing in recent years,the patients often have hyponatremia due to infection,hypoxia,acidosis and other reasons,which seriously affect the prognosis of patients.But because hyponatremia lacks the specific clinical manifestation,it is always masked by the primary disease or other complicated symptoms.If the diagnosis is not timely,it will easily lead to missed diagnosis or misdiagnosis.If the treatment is not in time or the treatment is improper,it will aggravate the patient's condition and even lead to death.It is found early that early treatment of hyponatremia is very important to improve the prognosis of elderly patients with severe pneumonia.This article reviews the progress in clinical diagnosis and treatment of elderly severe pneumonia with hyponatremia.