Nawathe A, Govind A
Department of Obstetrics and Gynaecology, North Middlesex University Hospital NHS Trust, UK.
J Obstet Gynaecol. 2013 Jan;33(1):9-13. doi: 10.3109/01443615.2012.698668.
Syndrome of inappropriate antidiuretic hormone (SIADH) is rarely encountered in pregnancy. We report a case of severe hyponatraemia with idiopathic SIADH. A total of 18 cases of hyponatraemia in pregnancy have been reported; seven fit the criteria of SIADH. Unlike our case, none were diagnosed before pregnancy. Of the cases, 13 were associated with pre-eclampsia. Our patient developed intrauterine growth restriction (IUGR) but did not develop pre-eclampsia.
抗利尿激素分泌异常综合征（SIADH）在妊娠期很少见。我们报告一例特发性SIADH导致的严重低钠血症病例。目前已报道18例妊娠期低钠血症病例；其中7例符合SIADH标准。与我们的病例不同，此前均无病例在妊娠前被诊断出。在这些病例中，13例与子痫前期有关。我们的患者出现了胎儿生长受限（IUGR），但未发生子痫前期。
