中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
27期
17-17,19
,共2页
老年慢性心力衰竭%低钠血症%临床分析%低钠血症并发症
老年慢性心力衰竭%低鈉血癥%臨床分析%低鈉血癥併髮癥
노년만성심력쇠갈%저납혈증%림상분석%저납혈증병발증
Elderly patients with chronic heart failure%Complicated with hyponatremia%The clinical analysis%Hyponatremia complications
目的：探讨老年性慢性心力衰竭合并低钠血症的临床治疗效果，以此作为临床依据研究其发病机制及有效的防治方法。方法：2012年3-12月收治老年性慢性心力衰竭合并低钠血症患者30例，所有患者都给予常规抗心力衰竭治疗的同时积极纠正低钠血症，观察其临床治疗效果。结果：30例患者经过治疗后，其中好转25例，治愈3例，无效1例，死亡1例，其死亡原因是低钠血症导致脑水肿、肺部感染。结论：老年慢性心力衰竭合并低钠血症患者治疗时需抗心力衰竭与补钠两者兼顾。同时针对性的护理也是治疗的要点，根据老年人的生理特点，采取针对性的预防措施。
目的：探討老年性慢性心力衰竭閤併低鈉血癥的臨床治療效果，以此作為臨床依據研究其髮病機製及有效的防治方法。方法：2012年3-12月收治老年性慢性心力衰竭閤併低鈉血癥患者30例，所有患者都給予常規抗心力衰竭治療的同時積極糾正低鈉血癥，觀察其臨床治療效果。結果：30例患者經過治療後，其中好轉25例，治愈3例，無效1例，死亡1例，其死亡原因是低鈉血癥導緻腦水腫、肺部感染。結論：老年慢性心力衰竭閤併低鈉血癥患者治療時需抗心力衰竭與補鈉兩者兼顧。同時針對性的護理也是治療的要點，根據老年人的生理特點，採取針對性的預防措施。
목적：탐토노년성만성심력쇠갈합병저납혈증적림상치료효과，이차작위림상의거연구기발병궤제급유효적방치방법。방법：2012년3-12월수치노년성만성심력쇠갈합병저납혈증환자30례，소유환자도급여상규항심력쇠갈치료적동시적겁규정저납혈증，관찰기림상치료효과。결과：30례환자경과치료후，기중호전25례，치유3례，무효1례，사망1례，기사망원인시저납혈증도치뇌수종、폐부감염。결론：노년만성심력쇠갈합병저납혈증환자치료시수항심력쇠갈여보납량자겸고。동시침대성적호리야시치료적요점，근거노년인적생리특점，채취침대성적예방조시。
Objective:To investigate the clinical effect of the treatment of senile chronic heart failure complicated with hyponatremia,and took it as a clinical basis for the study of the pathogenesis and effective control methods.Methods:30 patients with senile chronic heart failure complicated with hyponatremia were selected from March to December 2012.All patients were given conventional anti heart failure treatment at the same time positive correction of hyponatremia.We observed the clinical therapeutic effect.Results:In 30 cases after the treatment,25 cases were improved;3 cases were cured;1 case were ineffective;1 case died.The cause of the death was hyponatremia cause cerebral edema,pulmonary infection.Conclusion:The treatment of elderly patients with chronic heart failure complicated with hyponatremia needs both of anti heart failure and supplement of sodium.At the same time,the points of the treatment is pertinence nursing,and we should take targeted prevention and the use of diuretics according to the physiological characteristics of the elderly.
