垂体后叶素致低钠血症的临床研究.doc

垂体后叶素致低钠血症的临床研究
作者:肖玲郑小河郑忠生余文聘陈潮钦吴洁文
【关键词】叶素
摘要:目的:探讨垂体后叶素治疗咯血时致低钠血症的特点及治疗。方法:114例咯血患者中使用垂体后叶素治疗39例(垂体后叶素治疗组),没有使用垂体后叶素治疗75例(非垂体后叶素组),后者必要时使用立其丁治疗。所有患者予立止血、安络血及维生素C治疗,并监测血电解质。止血治疗的同时保证每日摄钠8~10g,如出现中、重度低钠血症,每日补钠10~12g。结果:所有患者治疗前血钠正常。垂体后叶素组39例均为中量以上咯血,25例出现低钠血症,停垂体后叶素后血钠恢复正常。非垂体后叶素组包括10例中量以上咯血者和65例少量咯血者,无1例出现低钠血症,两组存在显著差异P<。结论:垂体后叶素治疗易致低钠血症,治疗的开始即应补钠及适当限制入水量,切忌在血钠过低后急剧地补钠,否则可导致渗透性脱髓鞘病变,表现为不可逆精神失常。
关键词: 咯血垂体后叶素立其丁低钠血症
The Clinical Study of Hypophysin Leading to Hyponatremia
Abstract: Objective: To evaluate the characteristic and treatment of hypophysin leading to hyponatremia. Method: There e, the second group treated ine. All cases treated onitored electrolytes. In the same time, all cases everyday. If there idrange or high hyponatremia, it portant to supply : The blood natrium of all cases al before treatment. 39 cases treating edium or generous quantity hemoptysis, and 25 cases had hyponatremia. After stopping using hypophysin, the blood natrium edium or generous quantity hemoptysis using phentolamine and 65 cases of a small quantity hemoptysis ia in the second group. There ia portant to appropriately supply natrium and confine the entering capacity of e as hemostasis. It ia. Because eability demyelinating disease. Then displayed mental disorder.
Key optysis; Hypophysin; Phentolamine; Hyponatremia
咯血(hemoptysis)是指喉及其以下呼吸道或肺组织出血,经口腔咳出,是呼吸科常见急症之