ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2025, Vol. 6 ›› Issue (8): 995-997.doi: 10.3761/j.issn.2096-7446.2025.08.017

• 学术争鸣 • 上一篇    下一篇

1例高龄患者因水摄入过量致重度低钠血症的急救与警示

杨晓华(), 孙婷(), 王萍, 姚梅琪   

  1. 310009 杭州市 浙江大学医学院附属第二医院护理部
  • 收稿日期:2025-01-30 出版日期:2025-08-10 发布日期:2025-08-12
  • 通讯作者: 孙婷，E-mail：1195037@zju.edu.cn
  • 作者简介:杨晓华：女，硕士，主管护师，E-mail：2201040@zju.edu.cn

Emergency treatment and warning for an elderly patient with severe hyponatremia caused by excessive water intake：a case report

YANG Xiaohua(), SUN Ting(), WANG Ping, YAO Meiqi   

  • Received:2025-01-30 Online:2025-08-10 Published:2025-08-12

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摘要：

总结1例呕血伴意识不清，诊断为低钠血症性脑病患者的急救护理体会。针对患者起病急、病因不明、烦躁不合作等护理难点，详细追溯病史发现，患者有大量饮水等过度遵医行为，为医疗团队鉴别诊断提供依据。给予补钠、止血、护胃等对症治疗，合理使用保护性约束，针对性量化饮水指导等护理。患者住院第4天，病情好转出院。随访3个月，病情稳定，遵医行为良好。

关键词: 遵医, 过度遵医, 低钠血症性脑病, 水中毒, 急症护理

Abstract:

To summarize the emergency nursing care of a patient diagnosed with hyponatremic encephalopathy who had hematemesis complicated with unconsciousness. In response to the nursing difficulties of the patient with sudden onset，unknown etiology，irritability and lack of cooperation，emergency nurses traced the patient’s medical history in detail and found that the patient had excessive compliance with medical treatment，quickly providing differential diagnosis basis for the medical team. Combining symptomatic treatments such as sodium supplementation，hemostasis and gastric protection，reasonable use of protective constraints，targeted quantitative drinking water guidance were provided. After 4 days，the patient’s condition improved and was discharged. Follow up of 3 months showed stable condition and good compliance with medical treatment.

Key words: Compliance with Medical Treatment, Excessive Adherence to Medical Treatment, Hyponatremic Encephalopathy, Water Intoxication, Emergency Nursing