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[吉兰-巴雷综合征与抗利尿激素分泌不足综合征]

[Guillain-Barrè syndrome and inadequate antidiuretic hormone secretion syndrome].

作者信息

Pöschl P, Kohl Z, Thoden U, Winkler J, Jakob W

机构信息

Klinik für Neurologie der Universität Regensburg, Universitätsstrasse 84, 93053 Regensburg, Germany.

出版信息

Nervenarzt. 2006 Dec;77(12):1469-72. doi: 10.1007/s00115-006-2153-4.

DOI:10.1007/s00115-006-2153-4
PMID:17131102
Abstract

Several neurologic disorders including Guillain-Barré syndrome (GBS) are associated with hyponatremia. Hyponatremia and its overly fast correction have major implications to the course of the underlying neurologic disease. We report a case of GBS complicated by hyponatremia secondary to the development of inadequate antidiuretic hormone secretion syndrome. Differential diagnosis, pathophysiology, and therapeutic approach of hyponatremia in association with GBS are discussed.

摘要

包括吉兰-巴雷综合征(GBS)在内的几种神经系统疾病与低钠血症有关。低钠血症及其过快纠正对基础神经系统疾病的病程有重大影响。我们报告一例GBS合并抗利尿激素分泌不足综合征继发的低钠血症病例。并讨论了与GBS相关的低钠血症的鉴别诊断、病理生理学及治疗方法。

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本文引用的文献

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Intravenous immunoglobulin therapy results in post-infusional hyperproteinemia, increased serum viscosity, and pseudohyponatremia.静脉注射免疫球蛋白治疗可导致输注后高蛋白血症、血清粘度增加和假性低钠血症。
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Study of brain electrolytes and organic osmolytes during correction of chronic hyponatremia. Implications for the pathogenesis of central pontine myelinolysis.慢性低钠血症纠正过程中脑电解质和有机渗透溶质的研究。对中枢性桥脑髓鞘溶解症发病机制的启示。
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Superiority of demeclocycline over lithium in the treatment of chronic syndrome of inappropriate secretion of antidiuretic hormone.地美环素在治疗抗利尿激素分泌不当慢性综合征方面优于锂盐。
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