兰州大学学报(医学版)2009,Vol.35Issue(2):91-93,3.
慢性充血性心力衰竭低盐饮食与低钠血症
Low-salt diet and hyponatremia in chronic congestive heart failure
姚亚丽 1李俨 1秦建茹 1张博1
作者信息
- 1. 兰州大学第一医院心内科,甘肃,兰州,730000
- 折叠
摘要
Abstract
Objective To investigate the causes,prognosis and treatments of chronic congestive heart failure (CHF) with hyponatremia. Methods 120 patients with chronic CHF at Ⅲ~Ⅳ heart function levels were randomly divided into study group and control group with 60 cases in each. The study group received standard heart failure therapy along with low-salt diet while the control group received standard heart failure therapy along with normal diet. All cases were observed for 3 months. Results In the study group,32 cases had mild hyponatremia,8 cases had severe hyponatremia,and 2 cases died of severe hyponatremia with alkalosis and deterioration of heart function. In the control group,2 cases suffered from mild hyponatremia but no cases had sever hyponatremia and died. Conclusion For CHF at Ⅲ~Ⅳ heart function levels,long-term or intermittent diuretic administration accompanied by proper sodium salt supply or loosening the restriction of sodium salt intake may effectively prevent hyponatremia and its complications. For the patients with hyponatremia,oral administration of sodium salt is safe and effective.关键词
慢性充血性心力衰竭/低钠血症/低盐饮食Key words
chronic congestive heart failure/hyponatremia/low-salt diet分类
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姚亚丽,李俨,秦建茹,张博..慢性充血性心力衰竭低盐饮食与低钠血症[J].兰州大学学报(医学版),2009,35(2):91-93,3.