肝硬化腹水治疗中测定尿钠的意义

表1 肝硬化腹水患者的临床特点(mean±SD)

指标	Diuretics-responsive (n = 18)	Diuretics-unresponsive (n = 18)
Age(yr)	57.0±2.9	57.7±2.7
Sex(M/F)	6/2	7/1
Child-Pugh score	10.9±0.7	11.8±0.74
Hb(g/L)	89.0±4.0	92.0±5.0
Platelet(×109/L)	60.0±17.5	63.8±11.4
Serum albumin(g/L)	27.0±1.2	28.0±2.1
Serum bilirubin(umol/L)	78.7±23.9	71.8±17.1
ALT(U/L)	32.6±8.8	18.6±2.6
AST(U/L)	43.5±4.1	35.6±0.2
Serum Na(mmol/L)	137.4±1.0	134.1±1.4
PT(INR)	2.2±0.2	2.2±0.3
Spot urine Na(mmol/L)	109.1±17.7	57.7±13.4a
Spot urine K(mmol/L)	24.0±4.4	27.4±7.3
Spot urine Cl(mmol/L)	62.6±13.8	70.2±10.9
Spot urine Osmolarity(mOsm/kgH2O)	319.4±52.5	306.6±56.1
Creatinine clearance(mL/min)	62.2±11.2	49.6±7.2

^aP = 0.029.