摘要
目的探讨慢性阻塞性肺疾病(COPD)急性发作患者发生低钠血症的病因及治疗的重要性。方法70例COPD住院患者,其中ICU患者20例,普通病房患者50例,观察其血钠情况,可能发生低血钠的原因及酸碱失衡的情况,并分析其中的关系。结果COPD急性发作的ICU患者低钠血症发生率明显高于普通病房,与病情严重程度存在明显的相关性。结论低钠血症病因复杂,与疾病的发展程度及医源性因素有关,在综合治疗原发病的基础上,应定期检测血电解质并给予及时处理,以降低死亡率。
Objective To explore the causal factors and the importance of treating COPD patients accompanied with hyponatremia. Methods 70 cases were divided into two groups： 20 in ICU group and 50 in the other group. The sodium concentration, the causal factors and acid-base balance were observed and analyzed. Results The incidence of COPD patients accompanied with hyponatremia was much higher in ICU group. The condition of the patients combined with hyponatremia was also more critical. Conclusion The causal factors of hyponatremia are complicated and are related to the development of the disease and patient＇s base diseases. On the basis of comprehensive treatment of primary diseases, it＇s necessary to test serum electrolyte regularly and to treat hyponatremia timely so as to reduce the case - fatality rate of the disease.
出处
《临床肺科杂志》
2008年第1期52-53,共2页
Journal of Clinical Pulmonary Medicine
