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肺癌并发抗利尿激素不适当分泌综合征2例报告及文献复习

肖燕 王欢 王淑敏 高影

吉林大学学报(医学版)2017,Vol.43Issue(3):643-645,3.
吉林大学学报(医学版)2017,Vol.43Issue(3):643-645,3.DOI:10.13481/j.1671-587x.20170335

肺癌并发抗利尿激素不适当分泌综合征2例报告及文献复习

Lung cancer complicated with syndrome of inappropriate secretion of antidiuretic hormone:A report of 2 cases and literature review

肖燕 1王欢 1王淑敏 1高影1

作者信息

  • 1. 吉林大学第一医院内分泌代谢科,吉林 长春 130021
  • 折叠

摘要

Abstract

Objective:To analyze the clinical materials of 2 patients with lung cancer complicated with syndrome of inappropriate secretion of antidiuretic hormone (SIADH),and to improve the clinical awareness and management.Methods:One patient was treated with lung cancer chemotherapy alone for 7 courses.The other patient received the strictly limited for liquid intake and tolvaptan by oral against hyponatremia without chemotherapy.Results:With the relapsing and advancing of lung cancer,the hyponatremia and its relevant symptoms of the first patient were poorly relieved.While the level of serum sodium of the second patient returned to the normal level 3 d after administration of tolvaptan.Conclusion:About one-third of the patients with hyponatremia have SIADH.The etiological treatment and symptomatic therapy of hyponatremia should be given to the patients in clinical treatment.

关键词

抗利尿激素不适当分泌综合征/低钠血症/肺肿瘤/托伐普坦

Key words

syndrome of inappropriate secretion of antidiuretic hormone/hyponatremia/lung neoplasms/tolvaptan

分类

医药卫生

引用本文复制引用

肖燕,王欢,王淑敏,高影..肺癌并发抗利尿激素不适当分泌综合征2例报告及文献复习[J].吉林大学学报(医学版),2017,43(3):643-645,3.

基金项目

吉林省科技厅科研基金资助课题(20070929-02) (20070929-02)

吉林大学学报(医学版)

OA北大核心CSCDCSTPCD

1671-587X

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