慢性心衰并发低渗性脑病18例临床分析

Clinical Analysis of 18 Cases of Chronic Heart Failure Complicated with Hypotonic Encephalopathy

目的:探讨慢性心衰并发低渗性脑病患者的临床特点。方法对我院2013年9月~2014年3月收治的88例慢性心衰,并发低渗性脑病18例做回顾性分析。结果13例患者精神症状消失,1例因顽固性心衰而死亡。17例精神症状消失者均于症状消失当天复查电解质血钠及血浆渗透压,血钠为128~135 mmol/L,血浆渗透压为268~282 mmol/L。结论低钠血症是造成低渗性脑病的主要原因。

Objective To investigate the clinical features of chronic heart failure complicated with hypotonic encephalopathy.Methods 88 cases of chronic heart failure in our hospital from 2013 September to 2014 March,18 cases complicated with hypotonic encephalopathy were retrospectively analyzed.Results The psychiatric symptoms in patients with:13 patients were disappeared,1 patients with refractory heart failure and death.17 cases of mental symptoms were disappeared in the electrolyte to check the blood sodium and plasma osmotic pressure,serum sodium was 128-135 mmol/L,plasma osmotic pressure is 268~282 mmol/L.Conclusion Hyponatremia is the main cause of hypotonic encephalopathy.