【摘要】 目的:观察心力衰竭患者入院前、后电解质紊乱发生的类型及发生率,探讨其原因,总结临床防治策略,指导临床治疗。方法:对96例心功能Ⅲ—Ⅳ(NYHA分级)的慢性心力衰竭患者,于入院后当天及入院后第6 d进行电解质检测,观察电解质紊乱发生的情况及原因。结果:(1)96例患者中共有17例存在不同类型的电解质紊乱,发生率为17.71%。(2)入院后第6 d进行电解质检测,入院时已存在电解质紊乱的17例患者经过纠正电解质紊乱治疗,16例完全恢复正常,1例低钠血症患者虽然血钠水平有所上升,但没有恢复至正常值水平,治愈率为94.12%;入院时电解质正常的79例患者新发电解质紊乱12例,发生率为15.19%。结论:心力衰竭患者在入院前、后电解质紊乱的发生率均较高,以低Na+血症、低K+血症最为常见。更多还原

【Abstract】 Objective To observe and analyze the electrolyte disorder in patients with chronic heart failure in order to sum up the causes of electrolyte disorder and put forward preventing and treating strategy to electrolyte disorder.Methods The electrolytes of 96 patients with chronic heart failure were examined in the first day and in the sixth day respectively after they were admitted.The type and the causes of electrolyte disorder were observed and analyzed.Results(1)Among 96 patients,17 patients were found out with electrolyte disorder in the first day after they were hospitalized(17.71%).(2) Among 17 patients with electrolyte disorder in the first day,16 cases with electrolyte disorder was rectify by treatment in the sixth day after they were admitted(94.12%);Another 79 patients with normal electrolyte in the first day,12 cases were found out with electrolyte disorder in the sixth day(15.19%).Conclusion Incidence of electrolyte disorder is high for patients with chronic heart failure before and after they are admitted to hospital.The doctor must pay a great attention to the electrolyte disorder of the patients with chronic heart failure.更多还原