醋酸去氨加压素治疗肺结核咯血致低钠血症10例分析

目的：研究醋酸去氨加压素对肺结核咯血患者血钠的影响。方法应用醋酸去氨加压素治疗肺结核咯血患者76例，观察使用前后血钠水平变化。结果76例患者中出现低钠血症10例，其中有症状5例。使用后血钠水平高于使用前，差异有统计学意义(P<0.05)。经治疗后血钠均恢复正常。结论使用醋酸去氨加压素治疗咯血可能导致低钠血症，要密切监测血钠水平，及时发现低钠血症，早期处理。

Analysis of 10 cases for Tuberculosis hemoptysis caused hyponatremia treated with desmopressin acetate

Objective To study the effect of desmopressin in pulmonary tuberculosis patients with hemoptysis blood sodium acetate. Methods Application of desmopressin acetate in treatment of 76 cases of hemoptysis in patients with pulmonary tuberculosis, to observe the changes of blood sodium level of use. Results 10 cases of hyponatremia in 76 patients, the symptoms of 5 cases. Before using the blood sodium level was 137.9±2.2mmol/L, after using the blood sodium level was 127.3±6.5mmol/L, there was statistically significant difference（P〈0.05）. After treatment, blood sodium were normal. Conclusion The use of desmopressin acetate for the treatment of hemoptysis may cause hyponatremia, to close monitoring of blood sodium levels, timely detection of hyponatremia, early treatment.