肝炎肝硬化并低钠血症200例临床分析
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摘要:目的:探讨肝炎肝硬化患者低钠血症的临床特点。方法:将200例病毒性肝炎肝硬化低钠血症患者按血钠分度进行分组,分析低钠血症与肝性脑病和肾功能不全的关系,并对不同程度低钠血症患者的转归进行分析。结果:200例患者肝功能C级者血钠浓度显著低于B级(P<0.05);随着低钠血症程度的加重,肝性脑病和肾功能不全的发生率逐渐增大,其中重度低钠者发生率显著高于轻、中度者(P<0.05)。结论:肝硬化患者发生低钠血症后,其血钠浓度的高低与患者的预后相关,血钠越低,肝性脑病和肾功能不全的比例越高。
关键词:肝炎肝硬化失代偿期;低钠血症;肝性脑病;肾功能不全Clinical Analysis for 200 Patients with Liver Cirrhosis and Hyponastically
Liu JiXuLuo AnyunWang MingtiaoPang Hongyan
Abstract:Objective:Discuss the clinical feature of patients with liver cirrhosis and hyponatremia.Methods:Dividing 200 Patients with liver cirrhosis and hyponatremia by blood sodium, analyse the relation between hyponatremia, hepatic encephalopathy and renal insufficiency,and analyse the turned over of different degree with hyponatremia.Results:In the 200 Patients,the blood sodium of grade C Liver function is obvious lower than B level(P<005);With hyponatremia degree of aggravating, hepatic encephalopathy and the incidence of renaldysfunction are gradually increasing, including severe low sodium significantly higher incidence than light and the moderate(P<0 ......
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