Hyponatremia caused by the elderly of 26 cases of encephalopathy.docVIP

 PAGE \* MERGEFORMAT 6 Hyponatremia caused by the elderly of 26 cases of encephalopathy [Keywords:] hyponatremia; hyponatremia encephalopathy; elderly patients Clinical hyponatremia is very common, more common in the elderly, may present with obvious neurological symptoms, and the first doctor of neurology, primary disease often overlooked and delayed treatment. Now in January 2001 in December I -2005 hospital inpatient or observation of 26 cases of hyponatremia encephalopathy is as follows. 1 Clinical data 1.1 General Information 14 males and 12 females; aged 60 to 86 years, mean 64.5 years old. Duration of 3 to 10 days, an average of 6.8 days. 1.2 Clinical manifestations 26 patients have varying degrees of neurological symptoms, including irritability in 14 cases, headache, dizziness in 12 cases, unresponsive, indifferent, confusion in 12 cases, nausea and vomiting in 4 cases, 6 cases of blurred vision, blood pressure decreased in 4 cases , lethargy, coma in 4 cases. the primary disease: 12 cases of pulmonary heart disease, coronary heart disease heart failure in 3 cases, 8 cases of hypertension, traumatic brain injury in 2 cases, 2 cases of cerebral hemorrhage, cerebral infarction in 1 case, 2 cases of acute gastroenteritis, uremia disease in 1 case. some patients with 2 or more diseases. 1.3 grouping criteria Standard laboratory tests to hyponatremia by WATTAD divided into 4 degrees: mild (gt; = 125mmol / L), moderate (gt; = 120mmol / L), severe (gt; = 110mmol / L), very severe (lt;110mmol / L). This group of 26 patients, mild in 8 cases, moderate in 11 cases, 6 cases of severe, very severe in 1 case. 1.4 Laboratory tests Serum chloride concentrations were decreased, increased or decreased serum potassium concentration. Urea chloride, creatinine was significantly higher in 1 case, the other was normal. Carbon dioxide combining power in 4 cases in the 18 ~ 20mmol / L, between more than normal . 1.5 Treatment and prognosis