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目的对76列CHF合并低钠血症患者发生病因、治疗对策及疗效进行了回顾性分析。方法76例CHF合并低钠血症患者依据其发生原因、血钠浓度采取停用利尿剂、食物或静脉补钠、严格限水、强的松的应用等不同处理方法,观察其治疗疗果及死亡情况。结果缺钠性低钠血症治愈46例,好转18例,死亡2例,稀释性低钠血症好转4例,无效4例,死亡2例。结论认为过度限盐,快速或长期反复利尿是慢性心衰合并低钠的主要原因,且多为医源性,增加了治疗难及死亡危险性。本文采取不同处理方法,简单易行,疗效好。
Objective To retrospectively analyze the etiology, treatment and efficacy of 76 patients with CHF combined with hyponatremia. Methods 76 patients with CHF and hyponatremia patients according to their causes, serum sodium concentration to take the use of diuretics, food or intravenous sodium, severe water restrictions, the application of prednisone and other different treatment methods to observe the therapeutic effect and Death situation. Results Sodium-deficiency hyponatremia was cured in 46 cases, improvement in 18 cases, death in 2 cases, dilutional hyponatremia in 4 cases, ineffective in 4 cases and death in 2 cases. The conclusion is that excessive salt restriction, rapid or long-term repeated diuresis is the main reason of chronic heart failure complicated with hyponatremia, and mostly iatrogenic, which increases the risk of treatment and death. This article takes a different approach, simple, effective.