肝硬化腹水并发低钠血症52例临床分析.docVIP

精品论文 参考文献 肝硬化腹水并发低钠血症52例临床分析 武汉市黄陂区滠口街道血吸虫病防治站 湖北武汉 430300 摘要：目的：分析肝硬化腹水患者并发低钠血症的临床疗效。方法：将我站52例的患有肝硬化腹水的患者根据低钠程度分为三组，分别为I组、Ⅱ组、Ⅲ组。I组患者为轻度低钠血症25例，Ⅱ组患者为中度低钠血症18例，Ⅲ组患者为中度低钠血症9例。分析患者并发症发生概率，三组患者均给予常规治疗、利尿治疗及钠盐的补充治疗，记录患者治疗效果。结果：通过对肝硬化腹水患者临床治疗研究发现低钠血症症状轻重与并发症发生率呈正关联；通过补钠治疗后，患者症状得到缓解，肾功能得到改善，尿量增长。结论：肝硬化腹水患者并发低钠血症的患者低钠程度与并发症的发生率呈正关联，补充钠盐可有效缓解患者病症，及并发症的发生。 关键词：肝硬化；腹水；低钠血症；肾；钠盐 Objective：to analyze the clinical effect of hyponatremia in patients with liver cirrhosis and ascites.Methods：52 patients with cirrhosis ascites were divided into three groups according to the extent of low sodium，I group，group II，III group.In the I group，25 patients with mild hyponatremia，18 patients with moderate hyponatremia，9 patients with moderate hyponatremia.Analysis of the incidence of complications in patients with three groups of patients were given conventional treatment，diuretic therapy and sodium salt supplement treatment，record the effect of patients.Results：the clinical treatment of liver cirrhosis ascites patients found that the low level of symptoms and the incidence of complications was positively associated with the incidence of complications，the symptoms of the patients were relieved，the renal function was improved and urine volume increased.Conclusion：the low sodium level in patients with liver cirrhosis and ascites is positively associated with the incidence of complications，and can effectively relieve the symptoms and complications of patients with the occurrence of complications. Keywords liver cirrhosis；ascites；hyponatremia；kidney；sodium salt 腹水是肝硬化患者的常见的临床表现，一旦肝硬化的患者有腹水的表现就表示已进入了肝硬化代偿期。常见的临床表现为腹胀，如有大最腹水可看到腹部膨隆，膈肌可出现明显抬高。而肝硬化腹水的患者常发生电解质紊乱出现低钠血症，尤其是使用过排尿利尿剂的患者。因肝硬化腹水的患者饮食上多出现食欲不振，并在治疗过程中会辅以限钠饮食使之血钠指数及渗透压下降，低钠血症可是治疗效果急剧下降，并好引发其他并发症，如出现严重低钠血症时可有肝肾综合征，感性脑病等严重并发症，使患者进一步加重病情或出现死亡。近年来的研究报告常用低钠血症作为肝硬化的重要预后指标。本文就我站自2014年8月收入的患有肝硬化腹水并发低钠血症的52例患者对其临床症状及治疗进行观察分析，现总结如下； 1 临床资料 1.1 一般资料 选取2014年8月到2015年10月来我站治疗的52例肝硬化腹水合并低钠血症的患者，其中男40例