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低钠血症在儿科临床上经常遇到,但由于它常被原发疾病所掩盖或两者混淆不易诊断,往往延误了纠正水电解质紊乱的时机而危及患儿生命.例一、赵××,男,3岁,以发烧、咳嗽、腹泻3天入当地医院治疗,诊断为支气管肺炎.因高烧不退,食欲欠佳伴有腹泻、尿少,而给5%葡萄糖液加红霉素静滴.3天内共输液3500毫升,病情未好转反而出现头痛、恶心、呕吐、嗜睡、四肢软弱无力、腹胀,病情加重转入我院.入院后立即做生化检查,血钠116毫当量/升,氯91毫当量/升,钾3.4毫当量/升.经补充含钠液后次日上述症状明显减轻,3天后痊愈出院.该儿患支气管肺炎,由于补液不当,给低张液体后而引起稀释性低钠血症,经补充钠盐后症状迅速改善,继而症状消失,痊愈出院.
Hyponatremia is often encountered clinically in pediatrics, but because it is often overshadowed by the primary disease or confusing between the two, it is often delayed the timing of correction of water and electrolyte disorders and endanger the lives of children. , Male, 3 years old, with fever, cough, diarrhea 3 days into the local hospital for treatment, diagnosis of bronchial pneumonia.Because of high fever, poor appetite associated with diarrhea, oliguria, and to 5% glucose plus erythromycin static Drip. 3 days a total infusion of 3500 ml, the condition did not improve but instead of headache, nausea, vomiting, drowsiness, weakness, bloating, exacerbation into our hospital.After admission to do biochemical tests, serum sodium 116 meq / l, Chlorine 91 meq / l, potassium 3.4 meq / l. The sodium supplementation after the next day the above symptoms were significantly reduced, 3 days after he was discharged. The children suffering from bronchial pneumonia, due to improper fluid replacement, caused by low fluid dilution Sexual hyponatremia, symptoms quickly after the addition of sodium salt to improve, then the symptoms disappear, discharged.