Ι型、Ⅱ型肝肾综合征患者电解质和酸碱失衡状况的临床比较  

Comparison of electrolyte and acid-base imbalance between type Ι and type Ⅱ hepatorenal syndrome

作　　者：李冰 潘志铣 刘素雁[3] 朱红秋 邹海平 余玉红 金健 孙艳 

机构地区：[1]深圳市盐田区人民医院VIP病房,广东深圳518081 [2]深圳市盐田区人民医院血透科,广东深圳518081 [3]哈尔滨医科大学附属第二医院肾内科

出　　处：《胃肠病学和肝病学杂志》2010年第7期653-655,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的比较Ι型、Ⅱ型HRS患者电解质和酸碱平衡状况。方法回顾性分析71例首诊为HRS患者初次检查的电解质、血浆渗透压和动脉血气情况。结果Ι型、Ⅱ型HRS患者中出现单纯性酸碱失衡分别5例(16.1%),19例(47.5%),二重酸碱失衡分别为18例(58.1%),8例(20%),三重酸碱失衡分别为8例(25.8%),1例(2.5%);Ι型、Ⅱ型HRS患者中出现电解质紊乱分别为低钠血症31例(100%),38例(95%);低氯血症18例(58.1%),14例(35%);低钾血症22例(70.9%),7例(17.5%);高钾血症3例(9.7%),1例(2.5%);血浆渗透压降低分别占26例(83.9%),20例(50%)。结论电解质紊乱和酸碱失衡在Ι型HRS患者中出现率明显高于Ⅱ型HRS患者。Objective To compare the electrolyte and acid-base imbalance between patients with type Ι and type Ⅱ hepatorenal syndrome（HRS）.Methods The serum electrolytes parameter,arterial blood gases and plasma osmotic pressure of 71 patients suffered from hepatorenal syndrome were analyzed,retrospectively.Results There were 5（16.1%） cases and 19（47.5%） cases with single acid-base imbalance,18（58.1%） cases and 8（20%） cases with double-base imbalance,8（25.8%）cases and 1（2.5%）case with triple acid-base imbalances in type I and type Ⅱ hepatorenal syndrome,respectively;there were 31（100%）cases and 38（95%）cases with hyponatremia,18（58.1%）cases and 14（35%）cases with hypochloremina,22（70.9%） cases and 7（17.5%）cases with hypokalemian,3（9.7%）cases and 1（2.5%）case with hyperkalemia,26（83.9%）cases and 20（50%）cases with low osmotc pressure of plasma,respectively.Conclusion Electrolyte disturbance and acid-base imbalance in patients with type Ι HRS were higher than those in patients with type Ⅱ HRS.

关 键 词：肝肾综合征 电解质紊乱 酸碱失衡 

分 类 号：R575.2[医药卫生—消化系统]