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由于思维的动力定型与惰性关系,临床医生在处理复杂的儿科重症中容易被习惯看法所困惑,从而出现简单化倾向,这种倾向常带来严重后果。为认清其危害,引起临床注意,现举例探讨如下: 一、低钠血症误为“急性肾功能衰竭”例1:女,2岁,体重8kg,入院诊断营养不良并肠炎,轻度脱水,入院前有多饮多尿。入院后2天内静脉连续输注生理盐水400ml,10%葡萄糖液1200ml后,浮肿、腹胀、膝反射减退、神志淡漠、呼吸困难,12小时无尿。查血尿素氮30mg%,K~+3.4mEq/L,Na~+115mEq/L,Cl~-95mEq/L考虑“急性肾功能衰竭”,反复
Because of the dynamic stereotypes and inertia of thinking, clinicians are easily bewildered by common sense when dealing with complex pediatric critical illnesses, and tend to be simplistic, a tendency that often leads to serious consequences. In order to understand its harm, causing clinical attention, are as follows: First, the hyponatremia mistaken for “acute renal failure” Example 1: Female, 2 years old, weighing 8kg, admitted to diagnose malnutrition and enteritis, mild dehydration , Before admission to drink more urine. Intravenous infusion of 400 ml of normal saline and 1200 ml of 10% glucose solution within 2 days after admission resulted in edema, abdominal distension, diminished knee reflexes, apathy, difficulty breathing and no urine for 12 hours. Check blood urea nitrogen 30mg%, K ~ + 3.4mEq / L, Na ~ + 115mEq / L, Cl ~ -95mEq / L consider “acute renal failure,” repeatedly