HYPERNATREMIA IN THE ELDERLY - RELATION TO INFECTION AND MORTALITY
HYPERNATREMIA IN THE ELDERLY - RELATION TO INFECTION AND MORTALITY
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DOI：
10.1111/j.1532-5415.1981.tb01761.x
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发表时间：
1981-01-01
影响因子：
6.3
通讯作者：
HIMMELSTEIN, DU
中科院分区：
文献类型：
--
作者：
MAHOWALD, JM;HIMMELSTEIN, DU
审查了23名因脱水和高钠血症而入住县医院的老年患者的记录。其中1例患者的血清钠水平最高（202 meq/l），报告在成人。48%的总死亡率与高钠血症的程度无关。在17例急性细菌感染患者中，2/3死亡;所有5例未感染患者均存活。入院时感染并不总是明显的。早期和适当的抗生素治疗可以降低老年人高钠血症的高死亡率。
The records of 23 elderly patients admitted to a county hospital with dehydration and hypernatremia were reviewed. One of these patients had the highest serum Na level (202 meq/l) reported in an adult. The overall mortality of 48% was not related to the degree of hypernatremia. Of the 17 patients with acute bacterial infections, 2/3 died; all 5 noninfected patients survived. Infection was not always apparent at the time of admission to the hospital. Early and appropriate antibiotic therapy may reduce the high mortality associated with hypernatremia in the elderly.