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本文报告了7例共八次充血性心力衰竭患者在水肿消退、心力恢复阶段的水及电解质代謝的观察結果。利用平衡方法計算了細胞內外部分之水、鈉及鉀的交换数值。从观察的結果可以看出在心力恢复时,身体丢失水、鈉及氯,这些水及电解质主要来自細胞外液。有三次試驗,其結果說明在心力衰竭时細胞內也有較明显的水潴留,此可能与心力衰竭时細胞內渗透活动力的改变有关。大部分病例說明在心力衰竭时細胞內也有鈉潴留,但有两例在消肿期出現細胞內鈉代谢为正平衡,两例皆伴有低血鈉症,1例(例6)最后死亡,其机制尚待闡明。心力恢复期钾代謝多呈正平衡,只例2为負平衡。在利尿期适当补充鉀盐对心力恢复可有促进作用。
This article reports the observations of water and electrolyte metabolism in seven patients with congestive heart failure over edema and cardiac recovery. Balanced method was used to calculate the internal and external part of the cell water, sodium and potassium exchange values. It can be seen from the observation that at the time of recovery, the body loses water, sodium and chlorine, and these water and electrolytes mainly come from the extracellular fluid. There are three trials, the results show that there are more obvious water retention in heart failure cells, which may be related to changes in intracellular permeation activity of heart failure. Most of the cases showed sodium retention in the cells during heart failure. However, there were two cases of positive intracellular sodium metabolism during exfoliation and both had hyponatremia. One case (case 6) eventually died, The mechanism remains to be elucidated. Cardiac recovery potassium metabolism were mostly positive balance, only 2 negative balance. Appropriate potassium supplementation in the diuretic period may have a beneficial effect on cardiac recovery.