换瓣术后低钠血症原因及治疗  

Reasons and therapies of hyponatremia following to valve replacement

作　　者：罗永金[1] 杨庆军[1] 赵次洪[1] 严宇[1] 陈灏 吴洪坤[1] 余杨[1] 

机构地区：[1]重庆市中山医院,400013

出　　处：《中国医药指南》2008年第24期18-19,共2页Guide of China Medicine

摘　　要：目的探讨风湿性心脏病瓣膜置换术后出现低钠血症的原因和治疗。方法回顾性分析305例接受瓣膜置换术的患者术前状况,术后低钠血症的发生和治疗情况。结果手术成功302例,死亡3例;术前低钠血症发生48例(15.7%);术后低钠血症243例(79.7%),其中重度11例,中度95例,轻度134例。通过调节利尿剂、补液类型、饮食以及补钠治疗,最终低钠血症全部纠正。结论风湿性心脏病瓣膜置换术后患者低钠血症有较高的发生率,通过早期诊断和治疗可完全纠正低钠血症,大大提高患者的术后生存率。Objective To explore the main reasons and therapies of hyponatremia following to the Valve Replacement of Rheumatic Heart Disease.Methods To analyze pre-operative condition as well as incidence and therapeutic results of post-operative hyponatremia of 305 patients received Valve Replacement retrospectively.Results 302 patients experienced successful operation while 3 died during operation;48 patients(15.7%)appeared hyponatremia during pre-operative stage;hyponatremia occurred in totai 243 patients(79.7%)in post-operative phase,including 11 severe cases,95 moderate cases and 134 mild cases.All hyponatremia were corrected through adjustment of diuretics,types of fluids infusion and diet as well as supplement of sodium salt. Conclusion High incidence of hyponatremia was observed during post-operative stage of Valve Replacement,which can be entirely corrected by early diagnosis and appropriated interventions and then high survival rate of these patients can be achieved.

关 键 词：瓣膜置换 低钠血症 

分 类 号：R654.2[医药卫生—外科学]