低钠血症与慢性阻塞性肺疾病急性发作合并呼衰程度的关系  

The Relationship between Hyponatremia and the Respiratory Failure during the Acute Exacerbation of Chronic Obstructive Pulmonary Disease

作　　者：张杰[1] 张颖[1] 马晋[1] 

机构地区：[1]合肥市第一人民医院干部病房,合肥230021

出　　处：《安徽卫生职业技术学院学报》2009年第6期35-36,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨低钠血症与慢性阻塞性肺疾病(COPD)急性发作合并呼衰程度的相关性。方法:45例COPD急性发作住院患者,其中无呼吸衰竭组患者15例,Ⅰ型呼吸衰竭患者10例,Ⅱ型呼吸衰竭患者15例,观察其血钠情况,并分析其中的关系。结果:COPD急性发作伴呼衰患者低钠血症发生率明显高于无呼衰患者,Ⅱ型发生率较I型要高。结论:呼衰的患者易并发低钠血症,其病因复杂,与疾病的发展程度及医源性因素有关,应定期检测血电解质并给予及时处理,以降低病死率。Objective：To explore the relationship between the hyponatremia and the respiratory failure during the Acute Exacerbation of Chronic Obstructive Pulmonary Disease（AECOPD） for more future studies and treating in hospital.Methods：45 cases with AECOPD were divided into three groups as following：no respiratory failure group-0 15,type-I respiratory failure group-1 10 and type-Ⅱ respiratory failure group-2 15.Then,we observed value of the sodium concentration in the plasma,and analyzed the relationship between hyponatremia and the respiratory failure.Results：The incidence of hyponatremia in the group-2 and the group-1 of AECOPD were much higher than the group-0,and the incidence of serious hyponatremia in the group-2 was higher than the group-1.Thus,the hyponatremia had observable correlation with the condition of respiratory failures.Conclusion：The patients with the respiratory failure are possibly caused with hyponatremia,which is complicated but related to the development of the disease and some iatrogenic factors;On the basis of the general treatment of primary diseases,it＇s necessary to test serum electrolyte regularly and to treat hyponatremia timely in order to reduce the fatality rate of the cases.

关 键 词：慢性阻塞性肺疾病 呼吸衰竭 低钠血症 

分 类 号：R563.8[医药卫生—呼吸系统]