武警医学2013，Vol.24Issue(5)：408-409,413,3.
肝硬化合并低钠血症发病特点及治疗策略
Hyponatremia incidene characteristice and treatment strategy in patients with liver cirrhosis
梁志民 1殷健1
作者信息
- 1. 100048,北京,解放军总医院第一附属医院消化科
- 折叠
摘要
Abstract
Objective To investigate the pathogenesis and the clinical treatment strategy of hyponatremia in patients with liver cirrhosis, in order to improve the quality of life in patients with liver cirrhosis hyponatremia, reduce lethality and provide valuable reference. Methods 130 patients with liver cirrhosis in this hospital from January 2010 to January 2012 were complicated by hyponatremia. The clinical manifestations and complications of patients were recorded to analyze the relationship between Child - Pugh classification and the degree of hyponatremia. Patients were treated with different concentrations of sodium chloride according to different low sodium levels. Prognosis was observed after treatment. Results 15 cases had hepatic encephalopathy, 7 cases had hemorrhage of upper digestive tract, 7 cases had hepatorenal syndrome ( HRS ) , and 10 patients had hypokalemia. There were statistically significant differences in serum sodium concentration in different liver function classification ( P < 0. 05 ) . Further comparison showed that the liver function of patients with C level of the serum sodium concentration was significantly lower. After the treatment, no patients with serum sodium concentration 131 - 135 mmol/L had died, while in the patients with serum sodium concentration of 121 - 130 mmol/L and < 120 mmol/L ,7 died. There were significant differences between different grades of liver function and therapeutic effect in the patients ( P <0. 05) , and patients with serum sodium concentration of 131 - 135 mmol/L had significantly better effect. Conclusions Liver cirrhosis complicated by hyponatremia has an important impact on the prognosis of patients, and should be given specific treatment according to patients, different blood concentration of sodium.关键词
肝硬化/低钠血症/并发症Key words
liver cirrhosis/ hyponatremia/ complication分类
医药卫生引用本文复制引用
梁志民,殷健..肝硬化合并低钠血症发病特点及治疗策略[J].武警医学,2013,24(5):408-409,413,3.
