肝硬化合并上消化道出血患者电解质紊乱分析  

Analysis of electrolytes disorder in patients with liver cirrhosis complicated with upper digestive tract hemorrhage

作　　者：黄钢丁[1] 唐少波[1] 刘达云[1] 罗显克[2] 王文圣[3] 

机构地区：[1]广西南宁市第一人民医院消化内科,广西南宁530022 [2]广西民族医院消化内科,广西南宁530001 [3]广西中医药大学,广西南宁530022

出　　处：《右江民族医学院学报》2015年第6期777-779,共3页Journal of Youjiang Medical University for Nationalities

摘　　要：目的探讨肝硬化合并上消化道出血患者电解质紊乱情况及与Child-Pugh分级、合并其它并发症的关系,为临床诊断及治疗提供依据。方法选择广西南宁市第一人民医院、广西民族医院、广西瑞康医院2010年1月~2012年9月住院确诊肝硬化并上消化道出血患者106例,回顾性分析患者的临床资料和实验室检测结果。结果肝硬化合并上消化道出血的患者中合并电解质紊乱者有49例（46.23%）,其中最常见的电解质紊乱为低钠（23.59%）,其次为低钾（16.04%）,电解质紊乱发生率与Child-Pugh分级有关（P〈0.05）,合并肝肾综合征者出现电解质紊乱最多,其次是肝性脑病患者和腹水患者（P〈0.05）。结论肝硬化合并上消化道出血患者常同时合并电解质紊乱,随着肝功能受损加重,电解质紊乱的发生率增加。Objective To investigate the electrolytes disorder in patients with liver cirrhosis complicated with upper digestive tract hemorrhage and the relationships among electrolytes disorder and Child-Pugh classification,other complications so as to provide evidences for clinical diagnosis and treatment. Methods We retrospectively analyzed the clinical materials and laboratory test results from 106 patients with liver cirrhosis complicated with upper digestive tract hemorrhage,all the patients were admitted to Guangxi Nanning First People＇s Hospital,Guangxi Nationality Hospital and Guangxi Ruikang Hospital from January 2010 to September 2012. Results Forty-nine（46.23%）of 106 patients with liver cirrhosis complicated with upper digestive tract hemorrhage suffered with electrolytes disorder.Low Na＋（23.59%）and low K＋（16.04%）were mostly common in electrolytes disorder.The incidence rate of electrolyte disorder had a relationship with Child-Pugh classification（P〈0.05）,at the same time,electrolyte disorder occurred mostly in patients associated with hepatorenal syndrome,followed by patients associated with hepatic encephalopathy and with ascites（P〈0.05）. Conclusion Liver cirrhosis with upper digestive tract hemorrhage is often concurrent with electrolytes disorder,with the aggravation of the injured liver function,the incidence of electrolyte disturbance increases.

关 键 词：肝硬化 上消化道出血 电解质紊乱 

分 类 号：R575.2[医药卫生—消化系统]