低钠血症的中国专家共识  

Management of hyponatremia:A Chinese expert consensus statement

作　　者：中华医学会内分泌学分会电解质紊乱学组 陈适 王桂侠[3] 赵家军[4] 梁思宇 吕晓虹 吴丹宁 强佳琪 江楠 孙琳[6] 无;Chen Shi;Wang Guixia;Zhao Jiajun(Electrolyte Disorder Group,Chinese Society of Endocrinology,Chinese Medical Association;Department of Endocrinology,Key Laboratory of Endocrinology of National Health Commission,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Endocrinology and Metabolism,the First Hospital of Jilin University,Changchun 130021,China;Department of Endocrinology and Metabolism,Shandong Province Hospital Afiliated to Shandong First Medical University,Jinan 250021,China)

机构地区：[1]不详 [2]中国医学科学院,北京协和医学院北京协和医院内分泌科,国家卫生健康委员会内分泌重点实验室,北京100730 [3]吉林大学第一医院内分泌代谢科,长春130021 [4]山东第一医科大学附属山东省立医院内分泌代谢科,济南250021 [5]北京协和医院 [6]吉林大学第一医院

出　　处：《中华内分泌代谢杂志》2023年第12期999-1009,共11页Chinese Journal of Endocrinology and Metabolism

基　　金：国家重点研发计划"主动健康和人口老龄化科技应对"重点专项 (2022YFC3600203)。

摘　　要：细胞外钠离子浓度是形成血浆渗透压的重要成分。目前,低钠血症的定义为血清钠浓度<135 mmol/L,是临床中最常见的电解质紊乱。低钠血症的死亡率较血钠正常者显著升高。低钠血症常合并多种临床不良结局,其诊治具有一定挑战性。目前,国内尚无针对低钠血症的共识和诊治流程。本共识结合国内外最新研究结果以及我国实践经验,从低钠血症的分类、常见病因、诊断和评估、临床干预和治疗、生活方式干预这几个方面进行总结,以期指导临床诊疗,使患者获益。The concentration of extracellular sodium ion is an important component in the formation of plasma osmotic pressure.Hyponatremia is currently defined as a serum sodium concentration of less than 135 mmol/L and is the most common electrolyte disorder in clinical practice.The mortality rate of hyponatremia is significantly higher compared to individuals with normal sodium levels,and it often accompanies various adverse clinical outcomes,making its diagnosis and treatment challenging.Currently,there is no consensus or clinical guidelines for the management of hyponatremia in China.This consensus,based on the latest research findings as well as empirical experience,summarizes the classification,common causes,diagnosis and assessment,clinical intervention and treatment,and lifestyle intervention of hyponatremia.The aim is to improve the diagnosis and therapeutic landscape for patients in China.

关 键 词：电解质紊乱 低钠血症 专家共识 

分 类 号：R591.1[医药卫生—内科学]