McCormick P A, Mistry P, Kaye G, Burroughs A K, McIntyre N
Academic Department of Medicine, Royal Free Hospital School of Medicine, Hampstead, London.
Gut. 1990 Feb;31(2):204-7. doi: 10.1136/gut.31.2.204.
The treatment of moderate to severe hyponatraemia in patients with decompensated liver disease is unsatisfactory. We report our preliminary experience using intravenous infusion of albumin to treat this condition. Three patients with cirrhosis, ascites, and hyponatraemia responded satisfactorily to treatment; one patient with fulminant hepatitis B did not respond. Intravenous albumin infusion is a safe and effective therapy for patients with cirrhosis complicated by hyponatraemia. Its main role may be in preparing patients for surgery, particularly liver transplantation.
失代偿性肝病患者中重度低钠血症的治疗效果并不理想。我们报告了使用静脉输注白蛋白治疗这种情况的初步经验。三名患有肝硬化、腹水和低钠血症的患者对治疗反应良好；一名爆发性乙型肝炎患者没有反应。静脉输注白蛋白对肝硬化合并低钠血症患者是一种安全有效的治疗方法。其主要作用可能是为患者进行手术，尤其是肝移植做准备。
