肝硬化腹水并发低钠血症52例临床分析 董丹丹.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 董丹丹 （武汉市第七医院肝病科 湖北武汉 430071） 　　【摘要】目的: 分析肝硬化腹水患者并发低纳血症的临床疗效。方法：将我站52例的患有肝硬化腹水的患者根据低纳程度分为三组，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，记录患者治疗结果。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，补充低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??症；肾；钠盐 　　【中图分类号】R657.3+1 【文献标识码】A 【文章编号】1007-8231（2016）17-0031-02 　　【Abstract】Objective To analyze the clinical curative effect of patients with liver cirrhosis ascites complicated with low blood serum. Methods 52 cases of patients with cirrhosis ascites were divided into three groups according to the degree of low inclusive degree, which were group I, group II, group III, and group II. The patients in group I were 25 cases of mild hyponatremia, 18 cases of mild hyponatremia, 9 cases of moderate hyponatremia. Analysis of the incidence of complications of patients, three groups of patients were given conventional treatment, diuretic therapy and sodium supplement therapy, record the results of treatment of patients. Results Through on cirrhosis ascites in patients with clinical treatment study found that the incidence of hyponatremia and severity of symptoms and complications rate was positively correlated; by supplementing sodium in the treatment, symptoms eased and renal function improved, urine volume growth. Conclusion The patients with liver cirrhosis ascites complicated with hyponatremia in patients with low sodium level was positively associated with the incidence of complications and supplement the low sodium salt can effectively relieve patients symptoms, and complications. 　　【Key words】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症，感性脑病等