吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
19期
4214-4216
,共3页
蒋凤莲%施为建%鞠文东%周巧云%李全泳
蔣鳳蓮%施為建%鞠文東%週巧雲%李全泳
장봉련%시위건%국문동%주교운%리전영
肿瘤%低钠血症%临床特点%预后
腫瘤%低鈉血癥%臨床特點%預後
종류%저납혈증%림상특점%예후
Cancer%Hyponatremia%Clinical features%Prognosis
目的:探讨肿瘤合并低钠血症患者的临床特点及预后。方法:对初治的466例肿瘤患者进行回顾性分析。结果:肿瘤合并低钠血症者96例,占20.6%,低钠组与对照组肿瘤大小及生存时间方面比较差异有统计学意义( P﹤0.05);不同程度的低钠血症患者肿瘤大小及生存时间方面比较差异有统计学意义( P﹤0.05),治疗后血钠仍低组及治疗后血钠正常组生存时间两者比较差异有统计学意意义( P﹤0.001)。结论:肿瘤大小与低钠血症有关,肿瘤合并低钠血症者较未合并者的生存时间短;治疗后血钠未恢复正常者较恢复者预后更差,故应及早诊断和治疗。
目的:探討腫瘤閤併低鈉血癥患者的臨床特點及預後。方法:對初治的466例腫瘤患者進行迴顧性分析。結果:腫瘤閤併低鈉血癥者96例,佔20.6%,低鈉組與對照組腫瘤大小及生存時間方麵比較差異有統計學意義( P﹤0.05);不同程度的低鈉血癥患者腫瘤大小及生存時間方麵比較差異有統計學意義( P﹤0.05),治療後血鈉仍低組及治療後血鈉正常組生存時間兩者比較差異有統計學意意義( P﹤0.001)。結論:腫瘤大小與低鈉血癥有關,腫瘤閤併低鈉血癥者較未閤併者的生存時間短;治療後血鈉未恢複正常者較恢複者預後更差,故應及早診斷和治療。
목적:탐토종류합병저납혈증환자적림상특점급예후。방법:대초치적466례종류환자진행회고성분석。결과:종류합병저납혈증자96례,점20.6%,저납조여대조조종류대소급생존시간방면비교차이유통계학의의( P﹤0.05);불동정도적저납혈증환자종류대소급생존시간방면비교차이유통계학의의( P﹤0.05),치료후혈납잉저조급치료후혈납정상조생존시간량자비교차이유통계학의의의( P﹤0.001)。결론:종류대소여저납혈증유관,종류합병저납혈증자교미합병자적생존시간단;치료후혈납미회복정상자교회복자예후경차,고응급조진단화치료。
Objective To evaluate the clinical features and prognosis of cancer complicated with hyponatremia. Method The clinical data of 466 patients with cancer were studied retrospectively. Results The incidence rate of hyponatremia in cancer was 20. 6%. patients of two groups had statistical significance in incidence size of tumor and survival time(P﹤0. 05). Patients of different level hyponatremia had statistical significance in incidence size of tumor and survival time(P﹤0. 05). The patients who did not fully regain normal values of serum sodium,had poorer survival compared with the patients with normal serum sodium(P﹤0. 001). Conclusion The size of tumor is associated with hyponatremia,the survival time of tumor patients complicated with hyponatremia is poorer than that of tumor patients without hy-ponatremia;After treatment,the prognosis of patients with hyponatremia is poorer than that of patients with normal serum sodium,so it should be early diagnosis and treatment.