Clinical analysis of 102 cases with chronic heart failure complicated by hyponatremia
10.3760/cma.j.issn.0254-9026.2011.07.008
- VernacularTitle:慢性心力衰竭伴低钠血症患者102例临床分析
- Author:
Ye LI
;
Lihua LIU
;
Li XU
- Publication Type:Journal Article
- Keywords:
Heart failure;
Hyponatremia
- From:
Chinese Journal of Geriatrics
2011;30(7):555-557
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical experience of 3% sodium chloride in treatment of chronic heart failure with hyponatremia. Methods The 102 patients suffering from chronic heart failure with hyponatremia were treated with water limit, vasodilator, cardiotonic, diuretics, angiotensin-converting enzyme inhibitor, angiotensin Ⅱ receptor antagonist and 3% sodium chloride. Cardiac functional capacity classification (NYHA), treatment effect and hyponatremia level were compared between pre- and post- treatment. Results After treatment, heart function was statistically different as compared with that of pre-treatment (χ2=150.26, P＜0.05). The 58 cases showed distinct effect, 37 cases moderate effect, 7 cases no effect, and the percentage of total effect was 93.1%. The hyponatremia of patients with different level of heart function were (139.4±22.6) mmol/L, (138.2±23.3) mmol/L, the difference had a statistics significance compared with pre-treatment hyponatremia which were (122.9±20.5) mmol/L, (120.5±26.8) mmol/L (t=2.02, 2.04, P＜0.05). Conclusions Proper diuresis and sodium salt supplement could help to reduce the malignant risk of the patients suffering from chronic heart failure with hyponatremia and to improve the prognosis.
