慢性阻塞性肺疾病并电解质紊乱的临床研究

目的总结慢性阻塞性肺疾病并电解质紊乱的特点、治疗和转归。方法对2008年4月～2009年11月收治的慢性阻塞性肺疾病合并电解质异常47例患者的临床治疗情况进行回顾性分析。结果本组47例出现低钠血症者21例(44.7%),治愈及好转率66.7%;出现低钾患者14例(29.8%),治愈及好转率78.6%;出现低氯血症患者22例(40.4%)和低钙者2例(4.6%)均治愈或好转出院,治愈及好转率均为100%。结论慢性阻塞性肺疾病患者常伴有电解质紊乱,其中以低钠血症和低氯血症最为常见。常规监测电解质,及时发现电解质的异常,及时纠正,对慢性阻塞性肺疾病的成功救治有重要意义。

Objective To summarize chronic obstructive pulmonary disease and the characteristics of electrolyte imbalance,treatment and prognosis.Methods We retrospectively analyzed situation of 47 patients with chronic obstructive pulmonary disease combine electrolyte abnormalities which from April 2008 to November 2009 were treated.Results The 47 cases of hyponatremia occurred in 21 patients（44.7%）,cure and improvement rate was 66.7%;there were 14 cases of hypokalemia（29.8%）,cure and improvement rate was 78.6%;22 patients with hyperlipidemia appeared low chlorine cases（40.4%）and low calcium in 2 cases（4.6%）were cured or improved and discharged,cure and improvement rate was 100%.Conclusion Patients with chronic obstructive pulmonary disease is often accompanied by electrolyte imbalance,including hyponatremia and low chlorine to the most common hyperlipidemia.Routine monitoring of electrolytes,electrolyte abnormalities to detect and promptly correct,chronic obstructive pulmonary disease is important to the success of treatment.