论文部分内容阅读
目的探讨慢性肺源性心脏病并低渗性脑病的原因及治疗方法。方法对52例慢性肺源性心脏病并低渗性脑病患者的临床资料进行回顾性分析,其中血浆渗透压>260～280mmol/L 7例,≥240～260mmol/L 33例,而<240mmol/L 12例。结果 50例经补钠、控制入量等治疗,3～5d血钠上升至135～145mmol/L,低渗性脑病症状逐渐消失;死亡2例,病死率3.84%。结论慢性肺源性心脏病易并发低渗性脑病,早期诊断及时治疗与预后相关,严重低钠血症或有严重并发症发生是导致患者死亡的主要原因。
Objective To investigate the causes and treatment of chronic cor pulmonale with hypotonic encephalopathy. Methods The clinical data of 52 patients with chronic cor pulmonale and hypotonic encephalopathy were analyzed retrospectively. Among them, 7 cases with plasma osmolality> 260 ~ 280mmol / L, 33 cases with ≥240 ~ 260mmol / L, and <240mmol / L 12 cases. Results 50 cases of sodium supplementation, control of the amount of treatment, 3 ~ 5d serum sodium rose to 135 ~ 145mmol / L, symptoms of hypotonic encephalopathy gradually disappear; 2 died, the mortality rate was 3.84%. Conclusions Chronic pulmonary heart disease is complicated by hypotonic encephalopathy. Early diagnosis and timely treatment are associated with prognosis. Severe hyponatremia or serious complications are the main causes of death.