DOI: https://doi.org/10.25284/2519-2078.4(89).2019.187786

ГІПОНАТРІЕМІЯ: ПРИЧИНИ, КЛІНІЧНІ ПРОЯВИ ТА КОРЕКЦІЯ

У. А. Фесенко

Анотація


Представлений аналіз літературних джерел з проблеми гіпонатріемії. Описані причинні фактори, клінічні прояви, критерії тяжкості гіпонатріемії. Наведені діагностичні алгоритми для виявлення причини гіпонатріемії на грунті осмолярності плазми, волемічного статусу пацієнта та фракційної екскреції натрію та уратів. Проведений аналіз сучасних гайдлайнів з корекції гіпонатріемії, описані покази та обмеження застосування ваптанів.


Ключові слова


гіпонатріемія; вазопресин; синдром невідповідної секреції антидіуретичного гормону; синдром втрати солей; ваптани

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Посилання


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