肝硬化腹水并低钠血症临床分析

Clinical Analysis of The Cirrhosis Ascites with Hyponatremia

目的探讨肝硬化腹水并低钠血症的临床特点及治疗。方法对62例肝硬化腹水并低钠血症患者进行临床分析。结果肝硬化腹水患者低钠血症的发生率为42.2%(62/147),随低钠血症的加重,疗效明显降低,病死率增高(P<0.01),低钠血症的程度与肝功能分级、肝性脑病及肝肾综合征的发生等显著相关(P<0.01)。结论低钠血症是肝硬化常见的并发症,应高度重视。正确诊治肝硬化腹水低钠血症,对预后至关重要。

Objective To observe and dicuss the clinical characteristics and the treatments of the cirrhosis ascites with hyponatremia. Results the incidence of hyponatremia of the cirrhosis ascites patients was 42. 2%; with the hyponatremia being serverity,the curative effect decreased obviously,the fatality rate in- creased(P<0.01); the degrees of hyponatremia obviously related to liver function grading, hepatic coma, and hepatorenal syndrom(eP<0.01). Conclusion Hyponatremia is the common complication of cirrhosis of liver,it should be paid close attention to.Treat the cirrhosis ascites with hyponatremia correctly is essential to prognosi.