文档介绍：血浆置换治疗重症肝炎时电解质变化的临床研究西北国防医学杂志(MedJNDFNC)2005Aug.;26(4)265血浆置换治疗重症肝炎时电解质变化的临床研究李羽,白雪帆,冯志华,张岩,郑荣(第四军医大学唐都医院感染病科,陕西西安710038)?论着?摘要:目的::随机选取58例重症肝炎患者,其中并发低钾血症24例,低钠血症31例,低氯血症33例,在内科治疗的基础上加用血浆置换治疗,观察治疗前后血清K,Na,C1.,HCO,.,Ca"及肝功的变化情况,:血浆置换治疗前后血清中K,Na,cl'水平存在明显差异,HCO,',Ca",:血浆置换治疗重症肝炎可有效纠正电解质紊乱,:血浆置换;电解质;人工肝支持系统;重症肝炎中图分类号:R512文献标识码:A文章编号:1007—8622(2005)o4—0265—03ChangesofseruinelectrolyteintreatmentofliverfailurethplasmaexchangeuYu,BAIXue—fan,FENGZhi—hua,eta1.(DepartmentofInfectiousDisease,TangduHospital,FourthMilitaryMedicalUniversity,710038,China)Abstract:0bjective::Fifry—,plicatedbyhypokalemia,,includingK,Na,Cl,HCO3':TherewassignificantdifferencebetweenthelevelsofK',Na,CI'beforeandaftertreat—ment,urredinthelevelsofHCO3andCa¨.Inaddition,thedifferenceofserumelectrolytelevelsbeforeandaftertreatmentinthesurvivalpatientsWassignificant,:Thetreatmentofplasmaexchangecaneffectivelyrectifythedisturban