肝硬化合并低钠血症发病特点及治疗策略

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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.

Key words： liver cirrhosis hyponatremia complication

Received: 15 April 2013

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2013/V24/I5/408

[1]	陆志辉.肝炎后肝硬化并低钠血症的临床分析[J].吉林医学,2011,32(28):5916-5917.
[1]	陆志辉.肝炎后肝硬化并低钠血症的临床分析[J].吉林医学,2011,32(28):5916-5917.
[2]	叶任高,陆再英.内科学[M].6版.北京:人民卫生出版社,2004:448.
[2]	叶任高,陆再英.内科学[M].6版.北京:人民卫生出版社,2004:448.
[3]	朱吉生.肝炎后肝硬化并低钠血症的临床诊治分析[J].当代医学,2012,283(18):70-71.
[4]	徐钊,江正辉.肝硬化腹水病人的低钠血症[J].中华内科杂志,1991,30(10):628-630.
[3]	朱吉生.肝炎后肝硬化并低钠血症的临床诊治分析[J].当代医学,2012,283(18):70-71.
[4]	徐钊,江正辉.肝硬化腹水病人的低钠血症[J].中华内科杂志,1991,30(10):628-630.
[5]	田祖成.肝硬化并发低钠血症临床分析[J].现代诊断与治疗,2012,23(4):287-288.
[5]	田祖成.肝硬化并发低钠血症临床分析[J].现代诊断与治疗,2012,23(4):287-288.
[6]	孙建民,高艳丽,张海.肝硬化腹水低钠血症的治疗[J].医药论坛杂志,2004,25(1):68-69.
[6]	孙建民,高艳丽,张海.肝硬化腹水低钠血症的治疗[J].医药论坛杂志,2004,25(1):68-69.
[7]	章子琴.肝硬化并发低钠血症患者的临床护理[J].中国基层医药,2012,19(6):956-957.
[7]	章子琴.肝硬化并发低钠血症患者的临床护理[J].中国基层医药,2012,19(6):956-957.
[8]	Forman L M,Lucey M R.Predicting the prognosis of chronic liver disease: an evolution from child to MELD mayo end—stage liver disease [J]. Hepatology,2001, 33: 473-475.
[8]	Forman L M,Lucey M R.Predicting the prognosis of chronic liver disease: an evolution from child to MELD mayo end—stage liver disease [J]. Hepatology,2001, 33: 473-475.
[9]	徐云珍,郑雯婕.肝硬化并发低钠血症临床分析[J].中国社区医师,2011,13(29):28.
[9]	徐云珍,郑雯婕.肝硬化并发低钠血症临床分析[J].中国社区医师,2011,13(29):28.
[10]	王宇明,陈文.肝硬化低钠血症研究进展[J].肝脏,2011,16(2):141-144.
[10]	王宇明,陈文.肝硬化低钠血症研究进展[J].肝脏,2011,16(2):141-144.

[1]	. [J]. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(8): 709-710.