目的提高肠炎并高渗性脱水液体疗法的认识。方法分两个阶段总结分析肠炎并高渗性脱水的病例,2003-01-2006-0615例为A组,予1/3～1/5含钠液补液;2006-07-2010-0417例为B组,缓慢纠正高血钠症。结果 A组频繁惊厥7例,脑衰2例,颅内出血1例,放弃治疗1例,转院1例;B组无惊厥等并发症,全部治愈出院。结论肠炎并高渗性脱水液体疗法时,血钠的下降不能操之过急,以免发生脑水肿。 Objective To improve the understanding of enteritis and hypertonic dehydration fluid therapy. Methods Two stages of colitis and hypertonic dehydration cases were summarized and analyzed. Patients in group A were enrolled in group A from January 2003 to June 2006 with 1/3 ~ 1/5 fluid containing sodium solution. The cases of 2006-07-2010-0417 B group, slowly correct hypernatremia. Results A group of frequent convulsions in 7 cases, 2 cases of brain failure, intracranial hemorrhage in 1 case, to give up treatment in 1 case, transfer in 1 case; B group without convulsions and other complications, all cured. Conclusions Enteritis and hyperosmolar dehydration fluid therapy, the decline in serum sodium can not be too hasty to avoid cerebral edema.