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處理高血納的基本概念

Essentials in Management of Hypernatremia

摘要


高血鈉的定義為血清鈉濃度升高超過145 mmol/L,相較於低血鈉而言並不常見。主要原因可能是水分攝取,或尿液濃縮的機制異常。高血鈉大部分發生在老人、嬰兒、自我照護能力差,以及重症的病患。在處理高血鈉問題時,我們必須找出根本原因,治療潛在疾病,並給予正確的輸液治療。

關鍵字

高血鈉 缺水 口渴 滲透壓 血管升壓素

並列摘要


Hypernatremia is defined as an increase in serum sodium concentration of more than 145 mmol/L, which is less common than hyponatremia. The main causes of hypernatremia are impairment of free water intake or dysregulation of urine concentration. Hypernatremiamostly occurs in the elderly, infants, and patients with poor self-care ability or critical illness. Therefore, we must search for the leading causes, treat the underlying disease and give correct fiuid therapy for management of hypernatremia.

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