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目的研究醋酸去氨加压素对肺结核咯血患者血钠的影响。方法应用醋酸去氨加压素治疗肺结核咯血患者76例,观察使用前后血钠水平变化。结果 76例患者中出现低钠血症10例,其中有症状5例。使用后血钠水平高于使用前,差异有统计学意义(P<0.05)。经治疗后血钠均恢复正常。结论使用醋酸去氨加压素治疗咯血可能导致低钠血症,要密切监测血钠水平,及时发现低钠血症,早期处理。
Objective To study the effect of desmopressin acetate on the blood sodium in patients with pulmonary tuberculosis hemoptysis. Methods 76 patients with pulmonary tuberculosis hemoptysis were treated with desmopressin acetate, and the change of serum sodium level was observed before and after treatment. Results 76 cases of hyponatremia occurred in 10 cases, of which 5 cases of symptoms. The serum sodium level after use was higher than before use, the difference was statistically significant (P <0.05). Serum sodium returned to normal after treatment. Conclusions Use of desmopressin acetate in the treatment of hemoptysis may result in hyponatremia. Close monitoring of serum sodium level should promptly detect hyponatremia and treat it early.