慢性心力衰竭合并低钠血症临床分析

Clinical Analysis of Chronic Heart Failure with Hyponatremia

目的对76列CHF合并低钠血症患者发生病因、治疗对策及疗效进行了回顾性分析。方法76例CHF合并低钠血症患者依据其发生原因、血钠浓度采取停用利尿剂、食物或静脉补钠、严格限水、强的松的应用等不同处理方法,观察其治疗疗果及死亡情况。结果缺钠性低钠血症治愈46例,好转18例,死亡2例,稀释性低钠血症好转4例,无效4例,死亡2例。结论认为过度限盐,快速或长期反复利尿是慢性心衰合并低钠的主要原因,且多为医源性,增加了治疗难及死亡危险性。本文采取不同处理方法,简单易行,疗效好。

Objective Retrospectively analyzed those causes, treatment response and efficacy of 76 patients in CHF with hyponatremia. Methods Total 76 cases of CHF with hyponatremia occurs in patients aceording to their reasons for taking out the concentration of sodium diuretics, food or intravenous sodium supplement, strictly limited to water, the application of prednisone different treatment methods to observe the therapeutic effects and mortality. Results Lack of sodium cured 46 cases of hyponatremia, improvement in 18 cases, 2 deaths ; Dilution hyponatremia improved in 4 cases, 4 cases invalid,2 deaths. Conclusion In opinion that excessive salt restriction, rapid or long - term repeated urination is the main reason for low sodium combined with chronic heart failure, and mostly iatrogenic, an increase of the treatment is difficult and the risk of mortality. This article takes a different approach that is simple, good curative effect.