Subramanian D, Ayus J C
Department of Medicine, Baylor College of Medicine, Houston, Texas.
Am J Med Sci. 1992 Mar;303(3):177-9. doi: 10.1097/00000441-199203000-00009.
A 63-year-old white female who was being treated for hypertension with lisinopril presented with seizures, altered mental status, and a serum sodium of 101 mEq/L. Serum sodium prior to initiation of lisinopril therapy was 137 mEq/L. The hyponatremia was corrected and did not recur after lisinopril was stopped. The hyponatremia may have been a result of polydipsia and inappropriate antidiuresis secondary to ACE-inhibitor therapy.
一名63岁的白人女性，正在接受赖诺普利治疗高血压，出现癫痫发作、精神状态改变，血清钠为101 mEq/L。开始使用赖诺普利治疗前血清钠为137 mEq/L。低钠血症得到纠正，停用赖诺普利后未复发。低钠血症可能是由于多饮和继发于ACE抑制剂治疗的抗利尿激素分泌异常综合征所致。
