HYPERNATREMIA IN AN ADULT INPATIENT POPULATION
HYPERNATREMIA IN AN ADULT INPATIENT POPULATION
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DOI：
10.1136/pgmj.67.789.643
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发表时间：
1991-07-01
影响因子：
5.1
通讯作者：
PATHY, MSJ
中科院分区：
文献类型：
--
作者：
LONG, CA;MARIN, P;PATHY, MSJ
我们报告了一年中健康地区患者人群中一名成人高钠血症(血清钠浓度>；150 mmol/L)的回顾性研究。发病率为0.3%，至少60%的病例是在入院后发生的，主要是老年患者。脱水似乎是主要原因，大多数人与利尿剂的使用、意识水平低落或发烧有关。大多数患者有一个以上的致病因素，医源性原因是常见的。相关疾病通常是严重的，无论年龄，住院死亡率都很高(54%)。住院患者的高钠血症应该在很大程度上是可以避免的，有必要更多地认识到对易感患者积极维持水分的重要性。
We report a retrospective study of hypernatraemia (serum sodium concentration > 150 mmol/l) in an adult in patient population of a health district during one year. The incidence was 0.3% with at least 60% of cases developing after hospital admission, mainly in elderly patients. Dehydration appeared to be the major cause, with the use of diuretics, depressed conscious level or febrile illness implicated in a majority. Most patients had more than one contributory factor and iatrogenic causes were common. Associated illnesses were often severe and the in-hospital mortality was high (54%) regardless of age. Hypernatraemia in hospitalized patients should be largely avoidable and there is a need for greater awareness of the importance of active maintenance of hydration in susceptible patients.