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目的探讨重症肺炎合并低钠血症的原因,治疗及转归。方法报告2000-2007年52例重症肺炎患儿的血钠水平,血钠低于120 mmol/L,给予3%~5%氯化钠溶液治疗。结果52例血钠恢复正常50例,持续降低2例。肺炎治愈50例,死亡2例。结论重症肺炎常并发低钠血症,并明显影响预后;常规监测血钠水平,及时纠正紊乱能明显提高重症肺炎的抢救成功率。
Objective To investigate the causes, treatment and prognosis of severe pneumonia with hyponatremia. Methods The blood sodium level was measured in 52 children with severe pneumonia from 2000 to 2007. The serum sodium level was lower than 120 mmol / L and was treated with 3% ~ 5% sodium chloride solution. Results 52 cases of serum sodium returned to normal in 50 cases, continued to decrease in 2 cases. 50 cases of pneumonia were cured and 2 died. Conclusions Severe pneumonia often complicated with hyponatremia and significantly affected the prognosis. Regular monitoring of serum sodium level and promptly correcting the disorder can obviously improve the success rate of severe pneumonia rescue.