失代偿期慢性肺源性心脏病并发低钠血症67例分析

Decompensated chronic pulmonary heart disease complicated by hyponatremia analysis of 67 cases

目的探讨肺心病失代偿期并发低钠血症的发病因素、临床特点及防治措施。方法回顾性调查本院2004年1月至2007年12月呼吸科住院的67例肺心病失代偿期并发低钠血症患者的临床资料。结果同期收治失代偿期肺心患者197例，其低钠血症发生率为34．01％，低钠血症常见且易被忽视易误诊为肺性脑病。结论低钠血症在失代偿期慢性肺源性心脏病中较为常见，能否得到及时合理的治疗是影响患者预后的一个重要因素，对肺心病失代偿期低钠血症应提高认识并及时纠正。

Objective Decompensated pulmonary heart disease complicated by hyponatremia risk factors, clinical characteristics and control measures. Methods A retrospective survey in our hospital in January 2004 - December 2007 of 67 cases of respiratory hospital decompensated pulmonary heart disease complicated by hyponatremia in patients with clinical data. Results Treated in the same period the results of pulmonary decompensation period 197 cases of heart patients, the incidence of hyponatremia 34.01%, hyponatremia ignore common and easily misdiagnosed as pulmonary encephalopathy. Conclusion Hyponatremia in decompensated chronic pulmonary heart disease in the more common, can receive timely treatment is a reasonable impact on the prognosis of patients with an important factor, and decompensated pulmonary heart disease should raise the awareness of hyponatremia and promptly corrected.