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结核引起抗利尿激素异常分泌综合征一例报道及诊断思路

崔士芳 吴乃君 金秀平 魏雨田 徐莹

中国全科医学2017,Vol.20Issue(12):1520-1522,3.
中国全科医学2017,Vol.20Issue(12):1520-1522,3.DOI:10.3969/j.issn.1007-9572.2017.12.022

结核引起抗利尿激素异常分泌综合征一例报道及诊断思路

Syndrome of Inappropriate Antidiuretic Hormone Secretion Due to Tuberculosis:a Case Report and the Thought about Diagnosis

崔士芳 1吴乃君 1金秀平 1魏雨田 1徐莹1

作者信息

  • 1. 063000 河北省唐山市,华北理工大学附属医院内分泌科
  • 折叠

摘要

Abstract

The lung tissue infected with tuberculosis can secrete excessive antidiuretic hormone (ADH),and cause the occurrence of syndrome of inappropriate antidiuretic hormone secretion (SIADH). The status of diagnosis of one case with SIADH due to tuberculosis admitted to North China University of Science and Technology Affiliated Hospital was summarized in the paper. The patient with systemic multiple tuberculosis accompanied by severe hyponatremia was finally diagnosed with SIADH after excluding from other diseases based on the multiple examination results. It is suggested that the tuberculosis patients should undergo the related imaging and laboratory tests timely in order to find whether they have the SIADH,by which missed diagnosis or misdiagnosis of SIADH can be avoided.

关键词

ADH分泌不当综合征/结核/低钠血症

Key words

Inappropriate ADH syndrome/Tuberculosis/Hyponatremia

分类

医药卫生

引用本文复制引用

崔士芳,吴乃君,金秀平,魏雨田,徐莹..结核引起抗利尿激素异常分泌综合征一例报道及诊断思路[J].中国全科医学,2017,20(12):1520-1522,3.

中国全科医学

OA北大核心CSTPCD

1007-9572

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