肝硬化合并低钠血症的临床分析  

Clinical analysis of hyponatremia in patients with cirrhosis

作　　者：吴舟[1] 刘勋 

机构地区：[1]福州市第一医院消化内科,福州350000 [2]湖北省广水市第二人民医院内科,广水432721

出　　处：《华中医学杂志》2009年第5期260-261,共2页Central China Medical Journal

摘　　要：目的探讨肝硬化合并低钠血症的临床特点。方法对63例肝硬化患者的血钠水平进行回顾性分析。结果随着肝硬化程度的加重,血钠降低的病例数逐渐增高。血钠水平愈低,发生肝性脑病、肝肾综合征、难治性腹水等并发症的病例愈多。结论肝硬化患者血钠浓度下降与肝功能减退程度、发生并发症的概率呈正相关。血钠浓度可作为判断肝硬化病情严重程度及预后的重要指标。Objective To investigate the clinical features of hyponatremia in patients with cirrhosis. Methods The levels of serum sodium in 63 patients with cirrhosis were retrospectively analyzed. Results With the progress of cirrhosis, the number of patients with lower serum sodium was gradually increased. The lower the serum sodium was, the greater the number of patients with hepatic encephalopathy, hepatorenal syndrome and obstinate ascites. Conclusion The decrease of the serum sodium is positively correlated with the seve＇rity of liver function damage and the incidence of complications in patients with cirrhosis. The serum sodium level may be used as an important predictor in evaluating the severity and prognosis of cirrhotic patients.

关 键 词：肝硬化 低钠血症 并发症 

分 类 号：R575.2[医药卫生—消化系统]