Gudnason Gudni Arnar, Valtysdottir Sigridur Thordis, Valdimarsson Trausti, Thorvaldsson Stefan, Magnusson Thorvaldur
Laeknabladid. 2012 Apr;98(4):225-6. doi: 10.17992/lbl.2012.04.428.
A 78 year-old male was admitted for rehabilitation after a trans-tibial amputation three months earlier. Scheduled training with a prosthetic leg was postponed due to muscle atrophy and weakness. As the patient's status deteriorated, blood results showed worsening hyponatremia.Work-up revealed pituitary insufficiency caused by a pituitary mass. The patient's general health improved greatly and the hyponatremia corrected after hormonal replacement therapy with hydrocortisone, thyroxin and testosterone was initiated. Key words: hyponatremia, malaise, weight loss, pituitary insufficiency, pituitary adenoma.
一名78岁男性在三个月前接受了经胫骨截肢手术后入院进行康复治疗。由于肌肉萎缩和无力，原计划的假肢训练被推迟。随着患者病情恶化，血液检查结果显示低钠血症加重。检查发现垂体肿块导致垂体功能不全。在开始使用氢化可的松、甲状腺素和睾酮进行激素替代治疗后，患者的总体健康状况有了很大改善，低钠血症得到纠正。关键词：低钠血症、不适、体重减轻、垂体功能不全、垂体腺瘤。
