CAJ | 학술논문

目的：探讨低纳血症对重症病毒性肝炎并多器官功能衰竭（ MOF）预后的影响。方法对继发低纳血症的51例重型病毒性肝炎并多器官功能衰竭患者与无低钠血症的35例重型病毒性肝炎并多器官功能衰竭患者进行回顾性分析。结果继发低钠血症的重型病毒性肝炎并多器官衰竭患者总胆红素明显高于无低钠血症的重型病毒性肝炎并多器官衰竭患者（P＜0．01），凝血酶活动度（PTA）低于无低钠血症的重型病毒性肝炎并多器官衰竭患者（P＜0．05），病死率为25．49％，明显高于无低钠血症的重型病毒性肝炎并多器官衰竭患者（ P＜0．05）。结论低钠血症增加重型病毒性肝炎并多器官衰竭患者的死亡率。
목적：탐토저납혈증대중증병독성간염병다기관공능쇠갈（ MOF）예후적영향。방법대계발저납혈증적51례중형병독성간염병다기관공능쇠갈환자여무저납혈증적35례중형병독성간염병다기관공능쇠갈환자진행회고성분석。결과계발저납혈증적중형병독성간염병다기관쇠갈환자총담홍소명현고우무저납혈증적중형병독성간염병다기관쇠갈환자（P＜0．01），응혈매활동도（PTA）저우무저납혈증적중형병독성간염병다기관쇠갈환자（P＜0．05），병사솔위25．49％，명현고우무저납혈증적중형병독성간염병다기관쇠갈환자（ P＜0．05）。결론저납혈증증가중형병독성간염병다기관쇠갈환자적사망솔。
Objective To explore the effect of hyponatremia of the fulminant viral hepatitis with multiple organs failure.Methods 51 cases of the secondary hyponatremia and 35 without hylminant viral hepatitis with multiple organs failure were analyzed retrospectively in this paper .Results The total bilirubin(P<0.01), the fatality rate(25.49%) of the secondary hyponatremia in fulminant viral hepatitis with multiple organs failure were much higher that of no hyponatremin in fulminant viral hepatitis with multiple organs failure , and the serozyme activity(PTA) was mush lower (P<0.05).Conclusions Hyponatremia may increase the fatality rate of the fulminant viral hepatitis with multiple organs failure .