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目的提高慢性肺源性心脏病并低钠血症的诊治水平。方法采用回顾性分析方法,对60例慢性肺源性心脏病并低钠血症患者进行临床分析。结果 60例患者中,轻度低钠血症18例,中度低钠血症23例,重度低钠血症19例,临床表现不同:消化道症状、循环衰竭及神经、精神症状,有2例重度低钠血症者死亡。结论慢性肺源性心脏病并低钠血症临床表现不典型,容易误诊,应提高认识,及时发现,早期治疗,改善预后。
Objective To improve the diagnosis and treatment of chronic cor pulmonale and hyponatremia. Methods A retrospective analysis was performed on 60 patients with chronic cor pulmonale and hyponatremia. Results Sixty patients were mild hyponatremia in 18 cases, moderate hyponatremia in 23 cases and severe hyponatremia in 19 cases, with different clinical manifestations: gastrointestinal symptoms, circulatory failure and neurological symptoms Severe cases of hyponatremia died. Conclusion The clinical manifestations of chronic cor pulmonale and hyponatremia are not typical and are easily misdiagnosed. Awareness should be raised and timely detection, early treatment and prognosis should be improved.