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老年重症肺炎合并低钠血症的临床治疗观察 被引量:11

Treatment for elderly severe pneumonia complicated with hyponatremia
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摘要 目的:观察老年重症肺炎合并低钠血症的临床特点和治疗效果。方法:对我院2005年3月~2009年3月收治的26例老年重症肺炎合并低钠血症患者和未合并低钠血症26例患者的临床资料进行回顾性分析。结果:经治疗后,26例合并低钠血症的老年重症肺炎患者治疗总有效率为57.7%,未合并低钠血症26例患者治疗总有效率为73.1%,两者比较差异无统计学意义(P>0.05)。两组死亡患者均死于感染加重导致器官功能衰竭。结论:临床上密切监测电解质,及早发现低钠血症和及时纠正血钠水平,对提高患者的治疗效果至关重要。 Objective:To observe clinical characteristics and treatment of elderly severe pneumonia complicated with hyponatremia.Methods:Clinical data of 52 elder cases with severe pneumonia of which 26 cases were accompanied with hyponatremia that were admitted to the hospital during March,2005 and March,2009 were analyzd.Results:The total of which 26 cases were accompanied with effective rate was 57.7% in cases with severe pneumonia and hyponatremia,while the total efficacy was 73.1% in cases with only severe pneumonia.There was no significant difference(P〉0.05).All cases died of function failure of organs due to aggravating infection.Conclusions:Electrolyte should be under close monitoring.It is important to diagnose hyponatremia and correcte blood natrium level.
出处 《海南医学院学报》 CAS 2011年第1期76-78,81,共4页 Journal of Hainan Medical University
基金 海南医学院科研基金资助学报项目(0020110009)~~
关键词 重症肺炎 低钠血症 老年人 临床效果 Severe pneumonia Hyponatremia Elder Therapeutic effect
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