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Schwartz-Bartter’s综合征又称抗利尿激素分泌异常综合征(SIADH)。已知许多疾病特别是恶性肿瘤可导致抗利尿激素分泌异常综合征,急性脑血管病也可并发该综合征,但临床报道较少。作者近几年曾遇12例,现报告分析如下。 临床资料 1.一般资料,男性8例,女性4例,年龄57～69(平均64岁)。脑出血9例,其中基底节区出血5例,脑叶出血3例,丘脑出血1例,出血量20～40ml 15例,40ml以上4例。脑梗死2例,均为大面积脑梗死。蛛网膜下腔出血1例。
Schwartz-Bartter’s syndrome, also known as anti-diuretic hormone secretion syndrome (SIADH). It is known that many diseases, especially malignant tumors, can lead to the syndrome of anti-diuretic hormone secretion. Acute cerebrovascular disease can also be complicated by the syndrome, but there are few clinical reports. The author has encountered 12 cases in recent years, the report is analyzed as follows. Clinical data 1. General information, 8 males and 4 females, aged 57 to 69 (average 64 years). 9 cases of intracerebral hemorrhage, including 5 cases of basal ganglia hemorrhage, 3 cases of lobar hemorrhage, 1 case of thalamic hemorrhage, 15 cases of bleeding 20 ~ 40ml, 4 cases of more than 40ml. 2 cases of cerebral infarction, are large areas of cerebral infarction. Subarachnoid hemorrhage in 1 case.