慢性心功能不全合并低钠血症35例临床分析  

Clinical Analysis of Chronic Heart Failure with Hyponatremia in 35 Cases

作　　者：孙卫红[1] 

机构地区：[1]江苏省昆山市第二人民医院心内科,昆山215300

出　　处：《中国医药导刊》2013年第9期1423-1424,共2页Chinese Journal of Medicinal Guide

摘　　要：目的：分析慢性心功能不全合并低钠血症发生的原因,探讨防治对策。方法：回顾性分析我院2008年1月~2011年12月收治的慢性心功能不全合并低钠血症患者35例的临床资料。结果：其中轻度11例,中度14例,重度10例,合并低钠性脑病1例。其中13例患者经口服补钠,12例患者应用生理盐水进行补液,10例患者采用高渗钠进行补液。经治疗本组35例患者中,34例患者（3~14）d化验指标恢复正常,患者的心功能明显的到改善,1例患者因抢救无效而死亡。结论：饮食因素、医源性因素以及内分泌因素是慢性心功能不全者合并低钠血症发生的主要因素,临床较常见,轻中度低钠血症经及时治疗预后好,重度低钠血症有可能引起死亡,应引起临床医师高度重视。Objective：To analyzed the causes of chronic heart failure with hyponatremia, and advances some corresponding countermeasures.Methods：A retrospective analysis of 35 cases of chronic heart failure patients with hyponatremia clinical data.in our hospital from January 2008~December 2011.Results：11 cases of mild, 14 cases of Moderate, 10 cases of severe, 1 case was complicated with hyponatremia encephalopathy.13 cases of oral sodium, 12 cases of normal saline for fluid resuscitation, 10 cases of hypertonic sodium replacement. After treatment, the group of 35 cases, 34 cases of the assay index returned to normal about（3~14）days, The patient＇s heart function improved obviously, One case died due to rescue invalid.Conclusion：Leading to chronic heart failure combined hyponatremia main factors were dietary factors, iatrogenic factors and endocrine factors,were Very common in clinical, Mild-to-moderate hyponatremia after treatment timely ,the Prognosis was good, Severe hyponatremia may be caused death,therefore, the Clinician Should be Attention.

关 键 词：慢性心功能不全 低钠血症 临床分析 

分 类 号：R541.61[医药卫生—心血管疾病]