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helikopter
Dołączył: 03 Mar 2011
Posty: 735
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Wysłany: Śro 16:14, 09 Mar 2011 Temat postu: tory burch reva hna bql ffo kgc |
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Hyponatremia in patients with liver cirrhosis
Simultaneous determination of ascites and 24-hour urinary sodium, potassium,[link widoczny dla zalogowanych], chloride values, the results of their ascites, high serum sodium of sodium for the same period,[link widoczny dla zalogowanych], other content is basically the same. That the higher sodium ascites. 24-hour urinary sodium,[link widoczny dla zalogowanych], potassium and chlorine content in the normal range, while the total feces increased, increased sodium loss. This may be related to renal natriuresis there is a certain reserve and with the use of diuretics related. Ascites due to cirrhosis in this group were fed 1O Determination of blood osmotic pressure, the values were significantly lower than the normal range (crystal osmotic pressure 225 ~ 265mOsm / L, colloid osmotic pressure 0.12 ~ 1.40a). Description cirrhosis complicated by hyponatremia is hypotonic jl beetles Department of sodium syndrome, that is the traditional name of dilutional hyponatremia. The group of 35 Ye blood gas analysis and pH measurements show that most of ascites due to cirrhosis when there are different degrees of alkalosis, and to respiratory alkalosis and (or) on behalf of the alkaline-based, some with respiratory alkalosis and metabolic acidosis, and pulmonary ventilation over the former , too much carbon dioxide emission related. Alkalosis is related to the use of basic drugs too. Acidosis is with Taiwan and other relevant infection and hepatorenal syndrome Water discharge of sodium, ascites obtained good results in general. cirrhotic ascites and low serum sodium the relationship is more complex. In recent years,[link widoczny dla zalogowanych], many studies, such as various hormones and natriuretic effect of active factors involved are few reports .7, pending further research. In recent years, there stand a large number of patients with refractory ascites (refractory) ascites. from the point of view in this group, hyponatremia, especially in the original state of hyponatremia, serum sodium ≤ 125mmol / L and the base body and persons with poor liver and kidney function,[link widoczny dla zalogowanych], to both ascites and with a strong diuretic should be used with caution and should pay attention to the prevention of acute hyponatremia.
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