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目的:探讨充血性心力衰竭(CHF)合并低钠血症的治疗和预防。方法:选择102例CHF伴有低钠血症的患者,在常规综合治疗(利尿、ACEI、洋地黄等)基础上随机分两组,A组限水并给予补充高渗盐水,B组限水但不补盐水。观察两组患者治疗前后血钠浓度及心功能改善情况。结果:两组治疗后血钠浓度均有所改善,但A组改善优于B组(t=6.85,P<0.01)。结论:说明及时纠正低钠血症是成功救治CHF的关键;3%氯化钠10 ml/h泵入为静脉补充高渗盐的安全界限。
Objective: To investigate the treatment and prevention of congestive heart failure (CHF) combined with hyponatremia. Methods: A total of 102 CHF patients with hyponatremia were enrolled in this study. The patients were randomly divided into two groups: conventional diuretic, diarrhea, ACEI, digitalis, But not salt water. Observed two groups of patients before and after treatment, serum sodium concentration and cardiac function improved. Results: The serum sodium concentration in both groups improved after treatment, but the improvement in group A was better than that in group B (t = 6.85, P <0.01). Conclusion: The prompt correction of hyponatremia is the key to successful CHF treatment. 3% sodium chloride 10 ml / h is pumped into the safety margin of intravenous hypertonic salt infusion.