血液透析治疗重度心力衰竭合并顽固性低钠、低钾血症

• 作 者: 刘来生 贾志新 孟皓波 张珍梅
• 机 构: 武警内蒙古总队机关门诊部,武警内蒙古总队医院内二科,
• 出 处: 武警医学
• 发表日期: 2010年09期
• 关键词: 充血性心力衰竭 低钠血症 低钾血症 血液透析

心力衰竭合并低钠、低钾血症在慢性心力衰竭,长期进食不良的患者中较为常见,是比较棘手的问题。笔者对该类患者采用临时血液透析法治疗,疗效较为满意。1 临床资料1.1 一般资料按照NYHA左心功能不全分级标准,心功能3级以上,血钠≤120mmol/L、血钾≤3.0mmol/L作为研究对象。共32例,男15例,女17例,年龄64～80岁,平均73.66岁。

Heart failure combined with hyponatremia and hypokalemia are more common in patients with chronic heart failure and chronic poor eating, which is a rather difficult problem. The author of such patients with temporary hemodialysis treatment, the effect is more satisfactory. 1 Clinical data 1.1 General information NYHA classification of left ventricular dysfunction, heart function above the third grade, serum sodium ≤ 120mmol / L, serum potassium ≤ 3.0mmol / L as the research object. A total of 32 cases, 15 males and 17 females, aged 64 to 80 years, mean 73.66 years.