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小细胞肺癌是一种高度恶性的肺部肿瘤,其临床上可表现为由低钠血症导致的临床症状就诊,如头晕乏力、食欲缺乏及恶性呕吐等。因其首发症状可表现为非呼吸道症状,因而可导致临床误诊误治。小细胞肺癌伴低钠血症是由抗利尿激素分泌失调所致,简称抗利尿激素分泌失调综合征(syndrome of inappropriate secretion of antidiuretic hormone,SIADH)。本文就我院目前收治的1例小细胞肺癌伴SIADH患者,对其临床特点、诊断标准、治疗途径及结合文献资料作一分析总结。一、临床资料患者男,60岁,因乏力、食欲缺乏伴寒战十余天于外院就诊,当地医院查电解质提示血钠异常,125 mmol/L,给予补钠处理,
Small cell lung cancer is a highly malignant pulmonary neoplasm that clinically presents as a clinical indication of hyponatremia such as dizziness, loss of appetite and vomiting. Because of its initial symptoms can be manifested as non-respiratory symptoms, which can lead to misdiagnosis and misdiagnosis. Small cell lung cancer with hyponatremia is caused by dyslipidemia secretion syndrome, referred to as syndrome of inappropriate secretion of antidiuretic hormone (SIADH). This article is currently in our hospital for a case of small cell lung cancer with SIADH patients, its clinical features, diagnostic criteria, treatment and literature with a summary. First, the clinical data Male, 60 years old, due to fatigue, loss of appetite, chills more than ten days outside the hospital, the local hospital check electrolyte abnormal serum sodium, 125 mmol / L, given sodium supplementation,