HHS:Na=128,血糖 600 mg/dL → 校正血钠 = 136(Katz) Katz 校正:Na_corr = 128 + 1.6×(600 − 100)/100 = 128 + 8 = 136 mmol/L,校正后正常,提示为稀释效应而非真性钠代谢紊乱。{"result":"Na_corr = 136 mmol/L (Corrected sodium NORMAL). Na_corr = Na + 1.6 × (Glucose − 100)/100.","metadata":{"input":{"factor":"katz","glucoseUnit":"mgdl","sodium":128,"glucose":600},"result":{"naCorrected":136,"unit":"mmol/L","category":"Corrected sodium NORMAL","method":"Na_corr = Na + 1.6 × (Glucose − 100)/100","model":"Katz NEJM 1973; Hillier 1999; MDCalc. Not medical advice."}}}
重度 DKA:Na=124,血糖 900 mg/dL → 校正血钠 = 143.2(Hillier) 血糖极高时 Hillier 系数更准:Na_corr = 124 + 2.4×(900 − 100)/100 = 124 + 19.2 = 143.2 mmol/L,接近正常上限,提示明显自由水丢失(典型见于 HHS)。{"result":"Na_corr = 143.2 mmol/L (Corrected sodium NORMAL). Na_corr = Na + 2.4 × (Glucose − 100)/100.","metadata":{"input":{"factor":"hillier","glucoseUnit":"mgdl","sodium":124,"glucose":900},"result":{"naCorrected":143.2,"unit":"mmol/L","category":"Corrected sodium NORMAL","method":"Na_corr = Na + 2.4 × (Glucose − 100)/100","model":"Katz NEJM 1973; Hillier 1999; MDCalc. Not medical advice."}}}