慢性阻塞性肺疾病并低钠血症临床分析

目的：探讨慢性阻塞性肺疾病急性发作期（AECOPD）并发低钠血症患者的临床特点.方法：以血Na＋≤134mmo1/L作为低钠血症诊断标准,对32例AECOPD合并低钠血症进行回顾性分析.结果：轻度低钠血症（120～134mmo1/L）21例,中度低钠血症（110～119mmol/L）7例,重度低钠血症（＜110mmol/L）4例.32例患者经过治疗好转24例,无效5例,死亡3例.结论：低钠血症是AECOPD病情危重的重要指标之一,能否得到及时合理的治疗是影响患者预后的一个重要因素,应引起临床医师的重视.

Clinical analysis of chronic obstructive chronic obstructive pulmonary disease and hyponatremia

Objective： To investigate the clinical features of chronic obstructive pulmonary disease of acute exacerbation （AECOPD） and hyponatremia. Methods： Na＋≤134mmol/L was diagnostic criteria of hyponatremia, retrospective analysis 32 cases of AECOPD. Results： Mild hyponatremia （120- 134 mmol/L）, 21 cases, moderate hyponatremia （110 - 119 mmol/L）, 7 cases, severe hyponatremia （〈110 mmol/L）, 4 cases. After treatment, cure were 24 cases, invalid were 5 cases, death were 3 cases. Conclusion： Hyponatremia is one of the important indicators of AECOPD, the availability of timely and reasonable treatment is an important factor in the prognosis of patients, should arouse the attention of clinicians.