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目的了解慢性心力衰竭合并低渗性脑病患者的临床特点。方法对39例慢性心力衰竭合并低渗性脑病患者临床资料进行回顾性分析。结果 39例中,误诊为神经精神疾患26例(66.7%);31例经2～5 d治疗低钠血症逐渐纠正,意识状态渐恢复好转,8例死亡。结论慢性心力衰竭合并低渗性脑病易导致误诊,积极治疗原发病的同时要及时纠正电解质紊乱。
Objective To understand the clinical features of patients with chronic heart failure and hypotonic encephalopathy. Methods The clinical data of 39 patients with chronic heart failure and hypotonic encephalopathy were analyzed retrospectively. Results Thirty-nine patients were misdiagnosed as neuropsychiatric disorders in 26 patients (66.7%). 31 patients were corrected for hyponatremia after 2 ~ 5 d, and their consciousness improved gradually. Eight patients died. Conclusions Chronic heart failure combined with hypotonic encephalopathy may lead to misdiagnosis, and active treatment of the primary disease should be promptly corrected electrolyte imbalance.