静脉输注白蛋白是治疗恶性腹水患者低钠血症的有效方法。

Intravenous albumin infusion is an effective therapy for hyponatremia in patient with malignant ascites.

作者信息

Jhaveri K D, Chawla A, Xu C, Hazzan A

机构信息

Department of Internal Medicine, Division of Kidney Diseases and Hypertension, Hofstra North Shore-LIJ School of Medicine, Great Neck, New York, USA.

Department of Internal Medicine, Division of Nephrology, University of Chicago, Illinois.

出版信息

Indian J Nephrol. 2014 Jan;24(1):51-3. doi: 10.4103/0971-4065.125116.

DOI:10.4103/0971-4065.125116

PMID:24574634

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3927194/

Abstract

There are few reports about the treatment of moderate to severe hyponatremia associated with malignant liver metastasis. Here, we report using intravenous salt poor albumin infusion to treat hypervolemic cirrhosis related hyponatremia. A 58-year-old female with ascites secondary to metastatic breast cancer was referred to our department with symptomatic hyponatremia (serum sodium concentration of 121 mEq/L). The serum sodium level was corrected slowly over 2 days with intravenous albumin infusion and the patient's symptoms - fatigue, nausea, dizziness and headache improved.

摘要

关于恶性肝转移相关的中重度低钠血症的治疗报道较少。在此，我们报告使用静脉输注低钠白蛋白治疗高血容量性肝硬化相关的低钠血症。一名58岁女性，继发于转移性乳腺癌的腹水，因症状性低钠血症（血清钠浓度为121 mEq/L）转诊至我科。通过静脉输注白蛋白，血清钠水平在2天内缓慢纠正，患者的疲劳、恶心、头晕和头痛等症状得到改善。