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肝硬化病人中,因肾脏排泄水的能力受损而导致低钠血症者为数甚多。曾有报道:失代偿期病例伴有腹水,或/和浮肿者,其水排泄异常,而无腹水或浮肿者,则水排泄正常。对于其中有关的机理,已争论多年。作者对12例不同程度失代偿的酒精性肝硬化患者进行水负荷试验:受试者在试验前水的摄入不受限制,并至少停用利尿剂5天,静脉滴入5%葡葡糖水(20ml/kg),在20到30分钟内滴完。注射前后每隔1小
Among cirrhotic patients, hyponatremia is a large number due to the impaired ability of the kidneys to excrete water. It has been reported: decompensated cases associated with ascites, or and edema, the water excretion abnormalities, but no ascites or edema, the water excretion normal. The mechanisms involved have been debated for many years. The author of 12 cases of patients with varying degrees of decompensated alcoholic liver cirrhosis patients with water load test: Subjects before the test water intake is not limited, and at least disable the diuretic for 5 days, intravenous infusion of 5% Sugar water (20ml / kg), drip finished in 20 to 30 minutes. Before and after injection every 1 small