慢性充血性心力衰竭合并低钠血症的治疗和预后探讨  

TREATMENT AND PROGNOSIS OF CHRONIC HEART FAILURE WITH HYPONATREMIA

作　　者：刘瑛[1] 魏述军[1] 周彬[1] 

机构地区：[1]宁夏自治区人民医院内三科,银川市第一人民医院急诊科

出　　处：《宁夏医学院学报》1996年第4期16-18,共3页Journal of Ningxia Medical College

摘　　要：本文对１４５例心哀患者的临床资料进行了统计学处理。使用利尿剂后有１０１例较用药前呈现不同程度的血钠降低，发生低纳血症３９例，其中重度心衰发生率最高占４４．９％，显著高于轻、中度组。重度心衰病死率６０．９％。病死者中有２８例，存活者中有３例患低钠血症，重度心衰中，合并低血钠的病死率为９０．３％（２８／３１），未合并低血钠的病死率仅３６．８％（１４／３８），有显著性差异。观察发现，重度心衰患者血钠持续偏低者，常表示预后严重，与利尿剂使用不当有关。This papcr dealt with the statistical assessment from the clinical data of 145lieart failure(HF)patients,of which, 101 cases on d iuretics showed low blood sodium levelof various cxtent,among them,39 cases developed hyponatremia。 The most hyponatremiapatients seen in the severe HF group ( 44.9%)were significantly higher than that in themild,moderate HF groups,The mortality was 60. 9% in the severe HF group.And indeath s group, 2S cases had hyponatremia,while in the survival group,only 3·cases. In thesevere HF group, the mortality of thosc who complicated with hyponatremia was 90.3%(2S/31 )and in the non hyponatremia group was 36. 8% only.It is suggested that theprognosis seems rather poor in the severe HF patients with persistent low blood sodium lev-cl and the improper use of diuretics seems to have certain relations with this fact。

关 键 词：低钠血症 心力衰竭 预后 治疗 

分 类 号：R541.605[医药卫生—心血管疾病]