摘要
目的探讨老年冠心病慢性心力衰竭（CHF）并发电解质紊乱病人的临床特点。方法回顾分析2004年7月-2007年3月间收治的102例老年冠心病CHF并发电解质紊乱病人的临床资料。结果随着心力衰竭程度的加重,老年冠心病CHF病人电解质紊乱的发生率增加,入院时血Na^＋和Cl^-水平降低,心功能Ⅳ级病人血Na^＋、Cl^-水平低于正常值,但不同心功能分级CHF病人间血K＋水平差异无统计学意义。在老年冠心病CHF并发电解质紊乱病人中,低Na^＋及低Na^＋＋低Cl-的发生率要远高于低K＋及低K^＋＋低Cl^-的发生率,同时并发低Na^＋、低K^＋、低Cl-者只见于心功能Ⅲ、Ⅳ级病人,未见于心功能Ⅱ级的病人。未用利尿剂病人电解质紊乱全部为低Na^＋或低Na^＋＋低Cl^-,而应用利尿剂的病人电解质紊乱表现多样。结论随心力衰竭程度的加重,老年CHF病人电解质紊乱的发生率增加,且以低Na^＋、低Na^＋＋低Cl^-为主,尤其是未用利尿剂病人。
Objective To investigate clinical features of elderly patients with coronary heart disease in association with chronic cardiac failure and electrolyte disturbances. Methods Clinical data of 102 patients with above-mentioned problems treated in July 2004-March 2007 were reviewed retrospectively. Results With the aggravation of chronic cardiac failure, the incidence of electrolyte disturbances in the patients increased,the levels of serum Na＋ and CI^- in patients with grade 4 heart function on admission were lower than normal value, but serum K^＋ level in patients with different grade showed no statistically significant difference. In patients with electrolyte disturbances, the incidence of low serum Na^＋ and low both serum Na^＋ and CI was significantly higher than low serum K^＋ and low both K^＋ and CI . Simultaneous low serum K^＋ , Na^＋ and Cl^- seen only in those with heart function of grades 3 and 4. On electrolyte disturbances, for those who were not given diuretic showed low serum Na^＋ or low both Na^＋ and CI ; for those who had taken diuretic showed variform. Conclusion With the aggravation of heart failure, the incidence of electrolyte disturbances increased in senior patients, main findings being low Na^＋ and low both Na^＋ and Cl^- , especially for those who did not take diuretic.
出处
《齐鲁医学杂志》
2008年第5期398-399,402,共3页
Medical Journal of Qilu
