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肝硬化腹水并发低钠血症92例临床分析 被引量:4

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摘要 目的探讨肝硬化腹水并发低钠血症的原因、低血钠与肝性脑病、肝肾综合征、顽固性腹水的关系。方法对2001年1月~2004年1月辽宁抚顺矿物局总医院92例肝硬化腹水并发低钠血症患者的临床资料进行回顾性分析。结果92例肝硬化并发腹水患者中,Child—Pugh改良分级法B级56例,C级36例。其中,并发肝性脑病26例(28.3%)、肝肾综合征17例(18.5%)、顽固性腹水24例(26.1%)。结论低血钠程度与肝功能分级及病死率均显著相关(P<0.05)。严重低血钠与肝性脑病及肝肾综合征等肝硬化并发症的发生有显著相关。
作者 程铁军
出处 《国际医药卫生导报》 2006年第11期47-48,共2页 International Medicine and Health Guidance News
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参考文献4

  • 1陈颧珠.实用内科学[M].北京:人民卫生出版社,2002:794
  • 2Arroyo V,Gines P,Gerbes AL,et al.Definition and diagnostic criteria of refractory ascites and hepatorenal syndrome in cirrhosis[J].Hepatology,2002,23:164-176
  • 3王金科.肝硬化腹水的发病机理及治疗进展[J].广西医学,2000,22(6):1277-1282. 被引量:10
  • 4林庚金.消化病新概念[M].上海:上海医科大学出版社,1999:150

二级参考文献20

  • 1[1]Runyon BA. Historical aspects of treatment of patients with cirrhosis and ascites. Semin Liver Dis 1997; 17:163
  • 2[2]Wensing G, Lotterer E,link I,et al. Urinary sodium balance in patients with cirrhosis: relationship to quantitative paramenters of liver function. Hepatology 1997; 26:1149
  • 3[3]Moreau R, Lebrec D. Transduction of antinatriuretic signals in renal proximal tubular cells in cirrhosis: introduction to novel approaches to the treatment of sodium retention. J Hepatol 1998; 28:1064
  • 4[4]Wong F. Sniderman K, BlendisL. The renal sympathetic and renin-angiotensin response to lower body negative pressure in well-compensated cirrhosis. Gastroenterology 1998; 115:397
  • 5[5]Epstein M. A trial natriuretic factor and liver disease.In:Epstein M (ed.)The Kidney in Liver Disease. 4th ed.Philadelphia; Hanley & Belfus Inc. ; 1996:p339~358
  • 6[6]Uemure M, Tsujii T, Kikuchi E, et al. Increased plasma levels of substance P and disturbed wanter excretion in patients with liver cirrhosis. Scand J Gastroenterol 1998;33: 860
  • 7[7]Kanwar S, Kubes P,Tepperman B, et al. Nitric oxide synthase activity in portal-hypertensive and cirrhostic rats. J Hepatology 1996; 25: 85
  • 8[8]Kojima H, Tsujimoto T, Uemura M,et al. Significance of increased plasma adrenomedullin concentration in patients with cirrhosis. J Hepatol 1998; 28: 840
  • 9[9]Gutilini P. La Villa G. Marra F. et al. Pharmacokinetics and pharmacodynamics of torsemide and furosemide in patients with diuretic resistant ascites. J Hepatology 1996;25: 481
  • 10[10]Gines P. Jimenez W. Aquaretic agents: a new potential treatment of dilutional hyponatremia in cirrhosis. J Hepato 1996; 24: 506

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