肝性脑病并发电解质和酸碱失衡的探讨

目的　探讨肝性脑病时电解质和酸碱平衡紊乱的发生规律。方法　对 80例肝性脑病患者的动脉血气、电解质和血浆渗透压等检测结果进行回顾性分析。结果　肝性脑病患者中单纯酸碱失衡占 35 0 % ,二重酸碱失衡占 37 5 % ,三重酸碱失衡占 2 5 0 %。电解质紊乱一般多表现为低钠血症 (4 3 75 % )、低钾血症 (30 0 0 % )、低氯血症 (2 6 2 5 % ) ,血浆渗透压降低亦很常见。结论　肝性脑病患者经常出现电解质和酸碱平衡紊乱 ,并且使其病情更趋复杂化 ,应该及时给予纠正

Study of electrolytes and acid-base disorders in patients with hepatic encephalopathy

Objective To evaluate the electrolytes and acid-base disorders in patients with hepatic encephalopathy. Methods The arterial blood gases, serum electrolytes parameter and plasma osmotic pressure were analyzed retrospectively. Results There were 28 cases with single acid-base disorders (35.0%), 30 cases with double acid-base disorders (37.5%), and 20 cases with triple acid-base disorders (25.0%). The electrolytes disorders usually manifested hyponatremia (43.75%), hypokalemia (30.00%) and hypochloremia (26.25%). Low osmotic pressure of plasma (42.50%) was often seen in the patients with hepatic encephalopathy. Conclusion Electrolytes and acid-base disorders are very common in the patients with hepatic encephalopathy and this will make the condition worse, they should be treated promptly.