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抗利尿激素分泌失调综合征(SIADH)是指内源性抗利尿激素(ADH,即精氨酸加压素)分泌异常增多或其活性作用超常,从而导致水潴留、尿排钠增多以及稀释性低钠血症等临床表现的一组综合征。可由多种原因引起,如恶性肿瘤、呼吸系统及神经系统疾病、炎症、药物、外科手术。现有1例报告如下。临床资料患者,男,71岁。因“反复咳嗽咳痰20余年,再发伴气促半月”入院。患者有慢性支气管炎病史20余年,反复咳嗽咳痰发作。半月前受凉后,症状再发,活动后胸闷气促明显,无胸痛及畏寒发热。查体:T
Antidiuretic hormone syndrome (SIADH) refers to the abnormal secretion of endogenous anti-diuretic hormone (ADH, arginine vasopressin) or its abnormal activity, resulting in water retention, increased urinary sodium and dilution Hyponatremia and other clinical manifestations of a group of syndromes. May be caused by a variety of reasons, such as cancer, respiratory and nervous system diseases, inflammation, drugs, surgery. The existing one reported as follows. Clinical data, male, 71 years old. Because of “repeated cough and sputum for more than 20 years, with episodes of gas and promote half a month ” admission. Patients with chronic bronchitis history of more than 20 years, repeated cough and sputum attack. Half a month ago after the cold, the recurrence of symptoms, chest tightness and gas after the event was obvious, no chest pain and chills and fever. Physical examination: T