2014欧洲低钠血症诊疗的解读.ppt

3低渗性低钠血症 Hypotonic hyponatraemia 5.7. 低容量低渗性低钠血症（Hypotonic hyponatraemia with decreased extracellular fluid volume） 循环血量不足，无论是否失钠均刺激加压素（抗利尿素）分泌 虽此时血液低张，但仍会继续吸收水以补容量不足。 因血容量不足刺激加压素释放的利弊： 1 对于低钠、低渗不利 2 对于维持循环血量有利 低容量低渗性低钠血症示意图 5.8. 正常（等）容量低渗性低钠血症Hypotonic hyponatraemia with normal extracellular fluid volume Euvolaemic hyponatraemia is caused by an absolute increase in body water, which results from an excessive fluid intake in the presence of an impaired free water excretion, either due to inappropriate release of vasopressin or due to a low intake of solutes 在游离水排泄机制