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甲状腺功能减退所致低钠血症:一种单纯的肾脏机制。

Hyponatremia due to hypothyroidism: a pure renal mechanism.

作者信息

Schmitz P H, de Meijer P H, Meinders A E

机构信息

Department of General Internal Medicine, Leiden University Medical Center, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.

出版信息

Neth J Med. 2001 Mar;58(3):143-9. doi: 10.1016/s0300-2977(01)00081-x.

DOI:10.1016/s0300-2977(01)00081-x
PMID:11246114
Abstract

Hyponatremia is a common disorder. When hyponatremia is the result of hypothyroidism it can be successfully treated with thyroid hormone substitution. We followed cumulative sodium- and fluid balances of a patient with hyponatremia, resulting from hypothyroidism. We concluded that hyponatremia in hypothyroidism is due to a pure renal mechanism, and cannot be ascribed to inappropriate secretion of antidiuretic hormone.

摘要

低钠血症是一种常见病症。当低钠血症由甲状腺功能减退引起时,可通过甲状腺激素替代疗法成功治疗。我们跟踪了一名因甲状腺功能减退导致低钠血症患者的累积钠和液体平衡情况。我们得出结论,甲状腺功能减退引起的低钠血症是由单纯的肾脏机制导致的,不能归因于抗利尿激素分泌不当。

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