低钠血症为临床常见疾病,常合并低钾、低氯及酸碱平衡失调,病死率较高,有些老年患者以低钠血症为首发临床表现,常规治疗难以纠正。资料与方法 1.一般资料选择2006年6月-2012年12月我科收治低钠血症患者58例,男27例,女31例,年龄62-87岁,中位年龄74.5岁。其中合并心功能不全16例,肺炎6例,肝硬化3例,脑血管意外10例,糖尿病18例。临床表现:头昏、心悸、低血压、心 Hyponatremia is a common clinical disease, often associated with low potassium, low chlorine and acid-base balance disorders, high mortality, some elderly patients with hyponatremia as the first clinical manifestations, conventional treatment is difficult to correct. Materials and Methods 1. General Information Select June 2006 - December 2012 58 cases of hyponatremia patients admitted to our department, 27 males and 31 females, aged 62-87 years, the median age of 74.5 years. Including 16 cases of cardiac insufficiency, pneumonia in 6 cases, 3 cases of cirrhosis, cerebrovascular accident in 10 cases, 18 cases of diabetes. Clinical manifestations: dizziness, palpitations, hypotension, heart