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失代偿期肝硬化患者钠代谢紊乱及其预后
引用本文:刘娅,蒋彩虹.失代偿期肝硬化患者钠代谢紊乱及其预后[J].宁夏医学杂志,2003,25(3):145-146.
作者姓名:刘娅  蒋彩虹
作者单位:1. 宁夏医学院附属医院,宁夏,银川,750004
2. 宁夏吴忠市利通区医院,宁夏,吴忠,751100
摘    要:目的 探讨肝硬化失代偿期患者钠代谢的变化及其预后。方法 对138例失代偿期肝硬化患者进行钠检测及肝功能child-pugh分级。结果 46.4%的患者发生低钠血症,且随肝功能分级的增高而明显,合并腹水时低钠血症的发生率58.6%,低钠血症时肝硬化的并发症及病死率明显增高。结论 肝硬化患者易并发低钠血症,其发生与腹水的产生及肝功能状况有关,易引起严重并发症,是常见的死因之一。

关 键 词:肝硬化  失代偿期  低钠血症
文章编号:1001-5949(2003)03-0145-02
修稿时间:2002年10月20

Sodium metabolic disorder in decompensated cirrhosis patients and prognosis
LIU Ya,et al..Sodium metabolic disorder in decompensated cirrhosis patients and prognosis[J].Ningxia Medical Journal,2003,25(3):145-146.
Authors:LIU Ya  
Abstract:Objectives To explore the alteration of Na metabolism and prognosis of patients with decompensated cirrhosis.Methods Serum sodium concentration were chemically determined and hepatic function levels were classified with child-pugh method in 138 decompensated cirrhosis patients.Results Hyponatremia incidence in patients with decompenasted cirrhosis was 46.4%,and would slightly go up with the increase of hepatic function impairment and with ascites occurrence(58.6%).Conclusions Hyponatremia occurs easily in patient with hepatic cirrhosis and is connected with appearance of ascites with the severily of hepatic function impairment and with serious complications,and therefore is one of the mosy common causes of death.
Keywords:Cirrhosis  Decompensation  Hyponatremia
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