摘要
目的 探讨高渗盐水在低钠性顽固性心力衰竭治疗过程中的作用和可能出现的并发症以及防治对策。方法 分析 3%高渗盐水治疗低钠性顽固性心力衰竭前后的电解质、尿素氮、肌酐、心率、血压、心功能的变化。结果 治疗前后心功能、电介质、尿素氮、肌酐有明显改善 ,血压轻度升高 ,心率无明显变化。结论 高渗盐水能快速有效地纠正低钠血症 ,有助于心功能的迅速改善 ,降低血尿素氮、肌酐。对血压和心率影响不大。
Objective: To investigate the effects and complications of hypertonic saline in the treatment of hyponatremia in patients with obstinate heart failure and to find out prophylactic and therapeutic measures against the complications.Methods: To analyze the changes of electrolytes, urea nitrogen, serum creatinine, heart rate, blood pressure, cardiac function after the treatment of hyponatremia in patients with obstinate heart failure by 3% hypertonic saline. Results: After the improvement of hyponatremia, cardiac function, the levels of electrolytes, urea nitrogen, serum creatinine were improved significantly. Blood pressure rised slightly. Heart rate did not change. Conclusion: Hypertonic saline can redress hyponatremia, improve cardiac function and decrease the levels of urea nitrogen and serum creatinine rapidly and effectively. Blood pressure and heart rate did not change significantly.
出处
《中国现代医学杂志》
CAS
CSCD
2004年第5期39-41,共3页
China Journal of Modern Medicine
关键词
高渗盐水
心力衰竭
低钠血症
Hypertonic saline
Heart failure
Hyponatremia
