[1]戴国欣.老年重症肺炎合并低钠血症临床诊治的研究进展[J].医学信息,2018,31(04):4-6.[doi:10.3969/j.issn.1006-1959.2018.04.002]
 DAI Guo-xin.Advances in Clinical Diagnosis and Treatment of Severe Pneumonia Complicated with Hyponatremia in the Elderly[J].Medical Information,2018,31(04):4-6.[doi:10.3969/j.issn.1006-1959.2018.04.002]
点击复制

老年重症肺炎合并低钠血症临床诊治的研究进展()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年04期
页码:
4-6
栏目:
出版日期:
2018-02-15

文章信息/Info

Title:
Advances in Clinical Diagnosis and Treatment of Severe Pneumonia Complicated with Hyponatremia in the Elderly
文章编号:
1006-1959(2018)04-0004-03
作者:
戴国欣
天津市民政老年病医院老年病科,天津 300110
Author(s):
DAI Guo-xin
Department of Geriatrics,Tianjin Civil Geriatrics Hospital,300110 Tianjin,China
关键词:
老年重症肺炎低钠血症临床诊治研究进展
Keywords:
Key words:Geriatric severe pneumoniaHypsomiaClinical diagnosis and treatmentResearch
分类号:
R563.1;R591
DOI:
10.3969/j.issn.1006-1959.2018.04.002
文献标志码:
A
摘要:
老年重症肺炎近年来发病率不断增加,患者常因感染、缺氧、酸中毒等多种原因出现低钠血症,严重影响患者预后。但由于低钠血症缺乏特异性的临床表现,易被原发病或其他合并症状掩盖,若诊断不及时,极易导致漏诊或误诊,若治疗不及时或治疗不当,则易加重患者病情甚至致死,故对老年重症肺炎患者常规进行血钠浓度监测,早发现、早治疗低钠血症对改善患者的预后极为重要。本文就老年重症肺炎合并低钠血症临床诊治方面的研究进展进行综述。
Abstract:
Abstract:The incidence of severe pneumonia in the elderly has been increasing in recent years,the patients often have hyponatremia due to infection,hypoxia,acidosis and other reasons,which seriously affect the prognosis of patients.But because hyponatremia lacks the specific clinical manifestation,it is always masked by the primary disease or other complicated symptoms.If the diagnosis is not timely, it will easily lead to missed diagnosis or misdiagnosis.If the treatment is not in time or the treatment is improper,it will aggravate the patient’s condition and even lead to death.It is found early that early treatment of hyponatremia is very important to improve the prognosis of elderly patients with severe pneumonia.This article reviews the progress in clinical diagnosis and treatment of elderly severe pneumonia with hyponatremia.

参考文献/References:

[1]周彦俊,李成才,韩自华.APACHEⅡ评分对老年重症肺炎患者病情评估应用体会[J].医学信息,2016,29(26):92-93.
[2]伏红梅.老年重症肺炎的临床特点分析及治疗[J].医学信息,2012,25(1):148-149.
[3]Mocan M,Blaga SN.Severe Hyponatremia due to Levofloxacin Treatment for Pseudomonas aeruginosa Community-Acquired Pneumonia in a Patient with Oropharyngeal Cancer[J].Case Rep Med,2016,10(25):543-545.
[4]王红,杜娟,董亚琼.成人重症肺炎107例病原学分析[J].贵州医药,2015,39(4):358.
[5]王吉耀.内科学[M].北京:人民卫生出版社,2002:647-654.
[6]陈灏珠.实用内科学:上册[M].第12版.北京:人民卫生出版社,2006:978-982.
[7]汤辉,陈彪,王春梅,等.低钠血症与老年急危重病临床[J].医学综述,2017,23(4):660-664.
[8]Schuetz P,Haubitz S,Christ-Crain M,et al.Hyponatremia and anti-diuretic hormone in Legionnaires’disease[J].BMC Infect Dis,2013,11(13):585.
[9]黄志敏.老年重症肺炎合并低钠血症32例临床分析[J].中国中医药现代远程教育,2010,8(4):36.
[10]张新根.老年重症肺炎合并低钠血症46例分析[J].中外医疗,2011,30(36):47.
[11]覃冠德,邓亚菊,何劭君,等.老年重症肺炎合并低钠血症的临床分析[J].山西医药杂志(下半月版),2011,40(14):674-675.
[12]李桃英,高银玲.老年重症肺炎并低钠血症的临床分析[J].淮海医药,2010,28(3):252-253.
[13]黄宏毅,甘爵民,赵承锦,等.老年重症肺炎并发低钠血症临床治疗[J].中国保健营养,2013,23(8):4236-4237.
[14]王昕,杨秋梅.老年重症肺炎并发低钠血症的临床处置措施[J].家庭心理医生,2014,3(6):301,304.
[15]刘汉玉,韩翠英,黄敬.老年患者院前低钠血症97例原因分析及护理对策[J].中国误诊学杂志,2010,12(17):362-363.
[16]向芳,杨建洪.老年重症肺炎并发低钠血症的临床分析[J].中华保健医学杂志,2010,12(3):217-218.
[17]姚鸣华.电解质紊乱对老年重症肺炎患者预后的影响[J].实用老年医学,2014,28(4):294-295,298.
[18]杨娜.老年重症肺炎合并低钠血症临床诊治观察[J].世界最新医学信息文摘:连续型电子期刊,2015,15(20):96,99.
[19]常俊玲.30例老年重症肺炎并低钠血症的临床治疗体会[J].中国医药指南,2013,11(20):546-547.
[20]杨晔.当代内科学[M].北京:中国中医药出版社,2002:4101.
[21]龚瑞莹,庞永诚,邓虹.老年重症肺炎与低钠血症的临床分析[J].云南医药,2011,32(4):427-428.
[22]王建民.老年重症肺炎合并低钠血症38例临床应用[J].中国中医药咨讯,2010,02(11):101.
[23]王立,冯丽芳,王立万.老年重症肺炎合并低钠血症的临床治疗观察[J].海南医学院学报,2011,17(1):76-78,81.
[24]黄美珍.重症肺炎合并低钠血症的临床研究[J].中国卫生产业,2011,8(4):77.
[25]金鑫.老年重症肺炎并血清电解质紊乱及酸碱平衡失调临床分析[J].医学信息,2011,24(7):2967-2968.
[26]朱晓法,王鸿燕,田海涛,等.老年肺炎合并低钠血症30例临床分析[J].西北国防医学杂志,2010,31(3):222.
[27]徐晓红.重症肺炎并发低钠血症32例临床分析[J].中国医药指南,2013,11(8):157-158.
[28]王春辉.电解质紊乱对老年重症肺炎患者预后的影响[J].临床合理用药杂志,2013,6(25):104-105.
[29]杨庆.重症肺炎并低钠血症的临床探析[J].中国医药指南,2013,11(16):457-458.
[30]林江,黄毅,贺刚,等.呼吸危重症患者低钠血症的可能原因及合理治疗策略[J].医药前沿,2016,6(2):125.

相似文献/References:

[1]石 油,朱 继.低钠血症及血钠波动对动脉瘤性蛛网膜下腔出血患者预后的影响研究[J].医学信息,2018,31(03):73.[doi:10.3969/j.issn.1006-1959.2018.03.023]
 SHI You,ZHU Ji.Effect of Natriuremia and Blood Sodium Fluctuation on Prognosis of Patients with Aneurysm Subarachnoid Hemorrhage[J].Medical Information,2018,31(04):73.[doi:10.3969/j.issn.1006-1959.2018.03.023]
[2]陈 丽.序贯机械通气治疗老年重症肺炎的临床疗效观察[J].医学信息,2018,31(06):99.[doi:10.3969/j.issn.1006-1959.2018.06.031]
 CHEN Li.Clinical Effect of Sequential Mechanical Ventilation on Elderly Patients with Severe Pneumonia[J].Medical Information,2018,31(04):99.[doi:10.3969/j.issn.1006-1959.2018.06.031]
[3]祁兴顺,周新苗,许向波,等.肝硬化患者应用特利加压素治疗期间发生 低钠血症的现状研究[J].医学信息,2018,31(09):1.[doi:10.3969/j.issn.1006-1959.2018.09.001]
[4]吴 萌,王 平.右美托咪啶对老年重症肺炎有创机械通气患者镇静效果研究[J].医学信息,2018,31(16):118.[doi:10.3969/j.issn.1006-1959.2018.16.036]
 WU Meng,WANG Ping.Effect of Dexmedetomidine on Sedation in Elderly Patients with Severe Pneumonia Undergoing Invasive Mechanical Ventilation[J].Medical Information,2018,31(04):118.[doi:10.3969/j.issn.1006-1959.2018.16.036]
[5]林萃才.潮州市人民医院登革热患者年龄分布及临床检验分析[J].医学信息,2018,31(18):88.[doi:10.3969/j.issn.1006-1959.2018.18.027]
 LIN Cui-cai.Analysis of Age Distribution and Clinical Examination of Dengue Fever Patients in Chaozhou People's Hospital[J].Medical Information,2018,31(04):88.[doi:10.3969/j.issn.1006-1959.2018.18.027]
[6]刘 军.1例低钠血症的多病因分析[J].医学信息,2018,31(18):190.[doi:10.3969/j.issn.1006-1959.2018.18.063]
 LIU Jun.Analysis of Multiple Causes of 1 Case of Hyponatremia[J].Medical Information,2018,31(04):190.[doi:10.3969/j.issn.1006-1959.2018.18.063]
[7]张小桐.护理干预对老年重症肺炎并发呼吸机相关性肺炎患者临床效果观察[J].医学信息,2019,32(08):182.[doi:10.3969/j.issn.1006-1959.2019.08.059]
 ZHANG Xiao-tong.Clinical Observation of Nursing Intervention on Elderly Patients with Severe Pneumonia Complicated with Ventilator-associated Pneumonia[J].Medical Information,2019,32(04):182.[doi:10.3969/j.issn.1006-1959.2019.08.059]
[8]马 燕,王晓忠,延国威,等.乙肝肝硬化低血钠症患者血清钠、肌酐以及胱抑素C与肾功能损害程度的关系[J].医学信息,2020,33(19):55.[doi:10.3969/j.issn.1006-1959.2020.19.017]
 MA Yan,WANG Xiao-zhong,YAN Guo-wei,et al.The Relationship Between Serum Sodium,Creatinine,Cystatin C and the Degree of Renal Damage in Patients with Hepatitis B Liver Cirrhosis and Hyponatremia[J].Medical Information,2020,33(04):55.[doi:10.3969/j.issn.1006-1959.2020.19.017]
[9]刘素云,陈 思,张露娇,等.儿童热性惊厥临床特征分析[J].医学信息,2021,34(08):116.[doi:10.3969/j.issn.1006-1959.2021.08.030]
 LIU Su-yun,CHEN Si,ZHANG Lu-jiao,et al.Analysis of Clinical Characteristics of Febrile Seizures in Children[J].Medical Information,2021,34(04):116.[doi:10.3969/j.issn.1006-1959.2021.08.030]

更新日期/Last Update: 2018-02-15