低钠血症的多种病因：一例报告
Multiple Causes of Hyponatremia: A Case Report.
作者信息
Icin Tijana, Medic-Stojanoska Milica, Ilic Tatjana, Kuzmanovic Vladimir, Vukovic Bojan, Percic Ivanka, Kovacev-Zavisic Branka
机构信息
Clinic of Endocrinology, Diabetes and Metabolic Diseases, Clinical Center of Vojvodina, Novi Sad, Serbia.
出版信息
Med Princ Pract. 2017;26(3):292-295. doi: 10.1159/000468938. Epub 2017 Mar 7.
OBJECTIVE
To present a case with 4 different potential causes of hyponatremia.
CLINICAL PRESENTATION AND INTERVENTION
The patient presented with the following symptoms: nausea, vomiting, diarrhea, and dark urine after drinking large amounts of fluids that included alcohol and caffeine. Laboratory, microbiological, and morphological examinations revealed the existence of severe hyponatremia and acute poststreptococcal glomerulonephritis. The patient developed acute symptomatic seizures and coma. Gradual normalization of the sodium level led to a recovery of consciousness.
CONCLUSION
Treatment with hypertonic sodium, fluid restriction, and antibiotics led to a complete recovery. In the case of multiple causes of hyponatremia, it is necessary to treat all causes.
目的
介绍一例存在4种不同低钠血症潜在病因的病例。
临床表现与干预措施
患者出现以下症状：恶心、呕吐、腹泻，饮用含酒精和咖啡因的大量液体后尿液颜色变深。实验室、微生物学及形态学检查显示存在严重低钠血症和急性链球菌感染后肾小球肾炎。患者出现急性症状性癫痫发作和昏迷。血钠水平逐渐恢复正常使意识得以恢复。
结论
高渗钠治疗、限液及抗生素治疗使患者完全康复。对于低钠血症存在多种病因的情况，有必要对所有病因进行治疗。
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