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肝硬化患者稀释性低钠血症的研究现状与展望

胡玉琳 全香兰

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肝硬化患者稀释性低钠血症的研究现状与展望

详细信息
  • 中图分类号: R575.2

Research state and prospect of hyponatremia in cirrhosis

  • 摘要: 稀释性低钠血症(DH)是肝硬化腹水患者常发生的一个并发症,并与难以控制的腹水、肝性脑病(HE)、自发性细菌性腹膜炎(SBP)及肝肾综合征(HRS)密切相关。肝硬化患者DH,轻者可表现为疲乏无力、肌张力低,重者可出现低钠性脑病,表现为认知、运动功能障碍,严重者可出现抽搐或昏迷。肝移植前存在DH的患者,其移植后的并发症和病死率明显增加。治疗上限制水摄入、输入白蛋白以纠正DH,严重低钠血症,静脉补充高张钠。几种非肽V2受体拮抗剂有望在肝硬化患者DH的治疗上发挥一定的作用。

     

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  • 出版日期:  2011-03-20
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