Siani Andrea, Gabrielli Roberto, Accrocca Federico, Marcucci Giustino
Department of Vascular Surgery, ASL RMF S Paolo Hospital, Civitavecchia, Rome, Italy.
Ann Vasc Surg. 2012 Aug;26(6):859.e7-8. doi: 10.1016/j.avsg.2011.12.006. Epub 2012 Jun 15.
The syndrome of inappropriate secretion of antidiuretic hormone after carotid endarterectomy is very rare; only two cases have been reported in medical literature. We describe the case of an 82-year-old woman presenting with lethargy and drowsiness due to severe hyponatremia with urine hyperosmolarity and plasma hypo-osmolarity after carotid endarterectomy.
颈动脉内膜切除术后抗利尿激素分泌不当综合征非常罕见；医学文献中仅报道过两例。我们描述了一名82岁女性的病例，她在颈动脉内膜切除术后因严重低钠血症、尿渗透压升高和血浆渗透压降低而出现嗜睡和昏睡。
