慢性肺源性心脏病合并低渗性脑病32例临床分析

Chronic Pulmonary Heart Disease Associated Hypotonic Encephalopathy with 32 Cases

目的探讨肺心病合并低渗性脑病的临床特点。方法回顾性分析32例低渗性脑病患者的临床表现及辅助检查与治疗情况。结果低渗性脑病患者的临床表现,以嗜睡、反应迟钝最常见。结论血钠<125 mmol/L,血浆渗透压<260 mOsm/L,应考虑低渗性脑病,治疗以补充高渗性盐水为主。

Objective To explore the features of chronic pulmonary heart disease associated hypotonic encephalopathy in clinic.Methods The clinical data of 32 cases of such patients were analyzed retrospectively.Results The clinical manifestations of Chronic pulmonary heart disease associated hypotonic encephalopathy were lethargy、response laggard to see frequently.Conclusion To chronic pulmonary heart disease,that blood natrium 125 mmol/L,plasma osmotic pressure 260 mOsm/L,should regard as hypotonic encephalopathy,The key treatment is to supply hypertonic saline.