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肾病综合征可造成稀释性低钠血症,对缺钠性低钠血症重视不够。我们收治肾病综合征伴低钠血症19例,现将诊治体会总结如下。 1 临床资料 1.1 一般资料:男12例,女7例。3～5岁7例,6～9岁9例,10～13岁3例。单纯型肾病12例,肾炎型肾病7例。 1.2 发病诱因:上呼吸道感染4例,肺炎2例,肠道感染1例,尿路感染1例,限盐饮食8例,用利尿剂1周以上2例,呕吐、腹泻、进食极少者3例,激素治疗2个月以上伴感染者4例,原因不明2例。 1.3 临床表现:均有高度水肿,厌食12例,呕吐8例,精神萎糜11例,烦躁不安3例,惊厥1例,少尿
Nephrotic syndrome can cause dilutional hyponatremia, lack of attention to sodium deficiency hyponatremia. We received 19 cases of nephrotic syndrome with hyponatremia, diagnosis and treatment are now summarized as follows. 1 Clinical data 1.1 General Information: 12 males and 7 females. 3 to 5 years in 7 cases, 6 to 9 years in 9 cases, 10 to 13 years in 3 cases. Simple nephropathy in 12 cases, 7 cases of nephritis nephropathy. 1.2 Incentives: upper respiratory tract infection in 4 cases, 2 cases of pneumonia, intestinal infection in 1 case, urinary tract infection in 1 case, salt-limited diet in 8 cases, diuretics for more than 1 week in 2 cases, vomiting, diarrhea, eating minimal 3 For example, hormone therapy more than 2 months with infection in 4 cases, 2 cases of unknown cause. 1.3 Clinical manifestations: all have a high degree of edema, anorexia in 12 cases, 8 cases of vomiting, spirit mulberry in 11 cases, irritability in 3 cases, convulsion in 1 case, oliguria