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目的探讨恶性肿瘤合并低钠血症的临床特点。方法回顾性分析36例恶性肿瘤合并低钠血症的临床资料。结果 36例患者中肺癌20例,胃癌8例,肝癌4例,颅内肿瘤4例;20例肺癌中又以小细胞肺癌最多,有18例,占肺癌总数的90.0%。患者常表现纳差、全身消瘦、乏力等症状。36例患者经7~14 d对症治疗,血清钠恢复正常22例,占61.1%。结论低钠血症是恶性肿瘤常见的并发症,应给予高度重视,并给予综合措施治疗,延长患者生命。
Objective To investigate the clinical features of malignant tumor with hyponatremia. Methods Retrospective analysis of 36 cases of malignant tumor with hyponatremia clinical data. Results Among the 36 patients, there were 20 cases of lung cancer, 8 cases of stomach cancer, 4 cases of liver cancer and 4 cases of intracranial tumors. Among 20 cases of lung cancer, most of them were small cell lung cancer, with 18 cases accounting for 90.0% of total lung cancer. Patients often manifestations of anorexia, body weight loss, fatigue and other symptoms. Twenty-six patients were symptomatically treated with 7 to 14 days, and serum sodium returned to normal in 22 cases (61.1%). Conclusions Hyponatremia is a common complication of malignant tumor and should be given high priority. Comprehensive measures should be taken to prolong the life of patients.