慢性肺心病Ⅱ型呼衰合并低渗血症40例临床分析

CLINICAL ANALYSIS OF 40 CASES OF CHRONIC PULMONARY HEART DISEASE OF TYPE Ⅱ WITH RESPIRATORY FAILURE COMPLICATED WITH HYPOSMOSIS

分析慢性肺心病Ⅱ型呼衰合并低渗血症40例,在引起低渗血症的诸因素中,医源性因素甚为重要。治疗时轻者予以口服补液盐,中、重度者经补充高渗盐水等效果显著,井有抗利尿激素分泌异常综合征者,应在提高渗透压的同时,限制入水量,方能奏效。

In this paper 40 cases of chronic pulmonary heart disease of type Ⅱ with respiratory failure complicated with hyposmosis are analysed. Among all the factors giving rise to hyposmosis,the iatrogenic factor was the most important.ORS was given to the cases with mild hyposmosis and hypertonic saline and so on were intravenously administered to the ones with middle or severe hyposmosis,the curativeeffects being remar- kable.The results indicate that when the osmotic pressure of the patients with a syndrome of inappropriate ADH secretion is raised,the water supply should be limited.Only in this way can the treatment be effective.