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Scholars Journal of Applied Medical Sciences | Volume-4 | Issue-02
Significance of Hyponatremia in Decompensated Chronic Liver Diseases
Dr. Rajesh Khyalappa, Dr. Anoop Bardeskar
Published: Feb. 29, 2016 |
145
139
DOI: 10.36347/sjams.2016.v04i02.056
Pages: 606-608
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Abstract
To assess the frequency of serum sodium and its correlation with the severity of chronic liver diseases. The
Study Design is Prospective Study. The Place and Duration of Studyare Dr D Y Patil Hospital and Research Institute,
Kolhapur Maharashtra between October2013 to May 2015. The Methodology isa total of 100 patients with
decompensated alcoholic liver disease were enrolled and their serum sodium was measured. Relationship of
hyponatremia was correlated with severity of decompensated chronic liver disease. In Results the Out of 100 patient,
73(73%) patients had serum sodium < 130meq/l, 17 (17%) had serum sodium levels between 130-135 meq/l and 10
patients > 135meq/l. Ascities (96%) was the most common complication in patient with hyponatraemia. Hepatic
Encephalopathy was present in 34(34%) patients. Hepatorenalsyndrome (41%) and bleeding complication like variceal
bleeding was present in 37(37%) patient. Mortalityrate (35%) was also on the higher side with patients having serum
sodium <130meq/L. The Conclusion in this study is Hyponatraemia was the common feature in the patient with
decompensated alcoholic liver disease. The existence of serum sodium concentration with <130mmol/L was associated
with greater frequency of complication and mortality.