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肾病综合征(Primary Nephrotic Syndromo,PNS)时,常有水、钠的潴留和钾的排泄增加,但由于利尿剂的广泛使用等原因,低钠血症又相当常见,以往文献报道儿童PNS合并低钠血症较多,成人PNS合并低钠血症并不少见但罕见报道,笔者对近10年来收治的110例成人PNS患者的低钠血症进行了总结,并结合文献复习。 1 一般资料 我院自1987年10月~1997年10月共收治110例成人PNS患者,均有较完整的临床资料,所有病人均符合PNS的诊断。110例患者中有31例(28.2%)出现低钠血症,其中男22例,女9例,年龄15~65岁,平均年龄33.25岁。临床分型:Ⅰ型10
Primary Nephrotic Syndromo (PNS), often water, sodium retention and potassium excretion increased, but due to the widespread use of diuretics and other reasons, hyponatremia is quite common in children in the past reported PNS with low It is not uncommon but rare to report hyponatremia in adults with PNS and hyponatremia. The authors summarize hyponatremia in 110 adult PNS patients admitted in the recent 10 years and review the literature. 1 General Information In our hospital from October 1987 to October 1997 were treated 110 cases of adult PNS patients, have more complete clinical data, all patients are in line with PNS diagnosis. Among 110 patients, 31 cases (28.2%) had hyponatremia, including 22 males and 9 females, aged 15-65 years, with an average age of 33.25 years. Clinical classification: Ⅰ type 10