Clinical practice guideline on diagnosis and treatment of hyponatraemia

被引:312
作者
Spasovski, Goce [1 ]
Vanholder, Raymond [2 ]
Allolio, Bruno [3 ]
Annane, Djillali [4 ]
Ball, Steve [5 ,6 ]
Bichet, Daniel [7 ]
Decaux, Guy [8 ]
Fenske, Wiebke [3 ]
Hoorn, Ewout [9 ]
Ichai, Carole [10 ]
Joannidis, Michael [11 ]
Soupart, Alain [8 ]
Zietse, Robert [9 ]
Haller, Maria [12 ,13 ]
van der Veer, Sabine [12 ,14 ]
Van Biesen, Wim [2 ]
Nagler, Evi [12 ]
机构
[1] State Univ Hosp Skopje, Skopje, Macedonia
[2] Ghent Univ Hosp, Ghent, Belgium
[3] Wurzburg Univ Hosp, Wurzburg, Germany
[4] Univ Versailles St Quentin, Raymond Poincare Hosp, Paris, France
[5] Newcastle Hosp, Newcastle Upon Tyne, Tyne & Wear, England
[6] Newcastle Univ, Newcastle Upon Tyne, Tyne & Wear, England
[7] Univ Montreal, Sacre Coeur Hosp, Montreal, PQ, Canada
[8] Erasmus Univ Hosp, Brussels, Belgium
[9] Erasmus MC, Rotterdam, Netherlands
[10] Nice Univ Hosp, Nice, France
[11] Univ Innsbruck Hosp, A-6020 Innsbruck, Austria
[12] Ghent Univ Hosp, ERBP Methods Support Team, Ghent, Belgium
[13] KH Elisabethinen Linz, Linz, Austria
[14] Amsterdam Med Ctr, Ctr Informat, Amsterdam, Netherlands
关键词
Hyponatraemia; Hypotonic; Guideline; Diagnosis; Management; PERMANENT BRAIN-DAMAGE; ACQUIRED HYPONATREMIA; HOSPITALIZED-PATIENTS; HYPO-OSMOLALITY; RISK-FACTORS; VOLUME; EPIDEMIOLOGY; PHYSIOLOGY; OSMOLYTES; MORTALITY;
D O I
10.1007/s00134-014-3210-2
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Hyponatraemia, defined as a serum sodium concentration < 135 mmol/L, is the most common disorder of body fluid and electrolyte balance encountered in clinical practice. Hyponatraemia is present in 15-20 % of emergency admissions to hospital and occurs in up to 20 % of critically ill patients. Symptomatology may vary from subtle to severe or even life threatening. Despite this, the management of patients remains problematic. Against this background, the European Society of Intensive Care Medicine, the European Society of Endocrinology and the European Renal Association-European Dialysis and Transplant Association, represented by European Renal Best Practice have developed a Clinical Practice Guideline on the diagnostic approach and treatment of hyponatraemia as a joint venture of three societies representing specialists with a natural interest in hyponatraemia.
引用
收藏
页码:320 / 331
页数:12
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