Thomason Katharine, Macleod Kenneth, Eyres Keith S
Department of Orthopaedics, Derriford Hospital, Plymouth, UK.
Ann R Coll Surg Engl. 2009 Apr;91(3):W3-5. doi: 10.1308/147870809X400912.
We describe a case of profound hyponatraemia in a postoperative patient after total hip replacement caused by corticosteroid insufficiency due to a non-functioning pituitary macroadenoma diagnosed by dynamic endocrine tests and radiological imaging. Adopting a multidisciplinary approach, successful diagnosis and management lead to a complete recovery without any long-term sequelae.
我们描述了一例全髋关节置换术后患者发生严重低钠血症的病例,该病例是由垂体大腺瘤无功能导致皮质类固醇功能不全引起的,通过动态内分泌检查和影像学检查得以诊断。采用多学科方法,成功的诊断和治疗使患者完全康复,无任何长期后遗症。