老年肺源性心脏病并低钠血症41例分析

Analysis of 41 Cases of Senile Pulmonary Heart Disease and Hyponatremia

目的探讨老年人肺源性心脏病并发低钠血症的诊断与治疗对策。方法对41例低钠肺心病患者的临床资料进行回顾性分析。结果血钠121~134mmol/L 26例,110~120mmol/L 6例,低于110 mmol/L者9例。在积极治疗原发疾病的同时,轻症患者口服补钠为主,中重症患者予输3%氯化钠溶液及等渗盐水。经过治疗,29例症状好转,血钠接近正常,12例死亡。结论肺心病的低钠血症发生率高,临床表现多样,易误诊,病死率高。治疗上应和肺心病的其他并发症同步进行,及早发现并及时纠正低钠血症,以提高疗效,降低病死率。

Objective To investigate the cur pulmonale with hyponatremia diagnosis and treatment measures. Methods 41 cases of low sodium cot pulmonale patients clinical data were retrospectively analyzed. Results Blood sodium 121-134mmol/L 26 example, 110-120mmol/L 6, and less than 110mmoFL is 9 cases. In the positive treatment of primary diseases at the same time, the light disease patients oral complement sodium is given priority to, in patients with severe to lose 3% sodium chloride solution and isotonic saline. After treatment, the symptoms of 29 cases improved, the blood sodium close to normal, 12 cases died. Conclusion The occurance of hyponatremia incidence rate is high, the clinical manifestation is diversiform, easy misdiagnosis, and a high mortality rate. Treatment of cor pulmonale with other complications synchronously, early detection and timely correcting hyponatremia, in order to improve curative effect and reduce mortality.