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目的探讨婴幼儿重症肺炎合并低钠血症的临床特点。方法回顾分析17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,严重时发生抽搐等神经系统异常表现;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 investigate the clinical features of infant pneumonia complicated with hyponatremia. Methods Retrospective analysis of 17 cases of severe pneumonia in children with hyponatremia clinical manifestations, treatment and prognosis. Results Infants and young children with severe pneumonia complicated with hyponatremia complex causes, the clinical manifestations of a variety of and lack of specificity, serious cases of nervous system twitch and other abnormalities; found that the more advanced hyponatremia, hyponatremia, the more the higher the mortality rate . Conclusion Severe pneumonia in infants and young children should be promptly monitored serum sodium and other electrolytes should be based on clinical manifestations of early detection and treatment of hyponatremia to reduce mortality.