重型肝炎并发低钠血症临床分析

Clinical analysis of hepatitis gravis complicated with hyponatremia

目的 探讨重型肝炎并发低钠血症的原因及低钠血症对重型肝炎的影响。方法 对某院住院的 1 1 7例重型肝炎和 1 0 4例重度肝炎病例进行回顾性统计分析。结果 重型肝炎低钠血症发生率 (76 .0 7% )高于重度肝炎低钠血症的发生率 (6 0 .5 8% ) ;随着PTA的下降、TBIL的升高 ,低钠血症的程度加重 (P <0 .0 5 )。结论 病毒性肝炎低钠血症的发生与肝功能受损程度有关 。

Objective To explore the reason of viral hepatitis gravis complicated with hyponatremia and influence of hyponatremia on hepatitis gravis. Methods One hundred and seventeen cases of hepatitis gravis and 104 of severe chronic hepatitis were analysed. Results The incidence of hyponatremia complicated with hepatitis gravis was about 76.07% , which was higher than that of severe chronic hepatitis ( 60.58% ). With the decreasing of PTA and the increasing of TBIL, hyponatremia was more serious (P< 0.05 ). Conclusion Hyponatremia of viral hepatitis is related with liver dysfunction and is correlative with other complications and prognosis of the disease.