低钠血症对肝硬化病人并发症及预后的影响

目的 探讨血钠水平与肝硬化病人并发症、Child-Pugh分级及预后的关系。方法 收集肝硬化并发低钠血症病人的临床资料，分析不同程度低钠血症与肝硬化并发症、肝功能分级及预后的关系。结果 血钠浓度越低，肝硬化并发症的发生率越高、肝功能越差、病人的病死率也越高（χ2=4.11～18.79，P〈0.01;q=2.76～5.89,P＜0.05）。结论 低钠血症与肝硬化并发症、肝功能有关。低钠血症可以作为判断肝硬化病人预后的指标之一。

THE INFLUENCE OF HYPONATREMIA ON COMPLICATIONS AND PROGNOSIS IN PATIENTS WITH LIVER CIRRHOSIS

Objective To explore the relationship between serum sodium and complications, Child-Pugh grading and prognosis in patients with liver cirrhosis （LC）. Methods Clinical data of LC patients were collected and their different-extent hyponatremia was analyzed in regard to its association with LC complications, liver-function classification, and prognosis. Results The complications were higher, the liver function became worse and mortality increased along with the reducing of blood sodium concentration （X^2=4.11-18.79,P〈0.01;q=2.76-5.89,P〈0.05）. Conclusion Hyponatremiaisassociatedwiththecomplica- tions and liver function in LC, which can be used as one of the indicators for assessing prognosis of LC patients.