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The problem of acute hyponatremia in hospitalized children: The solution is in the solution

机译:住院儿童急性低钠血症的问题:解决之道在于解决之道

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摘要

Every year in our hospitals children die not from their underlying disease but because of acute hyponatremia associated with an intravenous (IV) infusion of hypotonic saline prescribed as maintenance fluid. Children undergoing elective surgery seem to be particularly at risk, even after relatively minor procedures (1, 2). How can this be, or more importantly, how can we continue to let this happen. Is there a solution to this problem that would prevent these types of catastroph-ies that is simple, logical, and easy to implement? To answer that question we need to understand the physiologic disturbances that cause acute hyponatremia and cerebral edema in children.
机译:每年,在我们的医院中,儿童并非因其基础疾病而死亡,而是由于急性低钠血症并伴有静脉输注维持液的低渗生理盐水。即使经过相对较小的手术,接受择期手术的儿童似乎也特别有危险(1、2)。这怎么可能,或更重要的是,我们如何继续让这种情况发生。是否有解决此问题的解决方案,以防止发生这种简单,合乎逻辑且易于实现的灾难?为了回答这个问题,我们需要了解导致儿童急性低钠血症和脑水肿的生理障碍。

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