Joyce S M, Potter R
Ann Emerg Med. 1986 Jun;15(6):745-7. doi: 10.1016/s0196-0644(86)80442-5.
A 43-year-old woman presented to the emergency department with acute agitation, confusion, and tonic seizures. She had a history of drug abuse, most notably beer, which constituted her major dietary intake. The patient's seizures were at first thought to be factitious in association with an acute psychosis; however, her serum sodium concentration was 110 mEq/L and urine sodium was 14 mEq/L. The patient responded to IV hypertonic saline and subsequently recovered completely. Beer potomania, the most likely etiology for this patient's hyponatremia, is a rare disorder in which dietary sodium and protein insufficiency lead to dilutional hyponatremia.
一名43岁女性因急性躁动、意识模糊和强直性惊厥被送往急诊科。她有药物滥用史，最显著的是啤酒，啤酒是她主要的饮食摄入。患者的惊厥起初被认为与急性精神病有关；然而，她的血清钠浓度为110 mEq/L，尿钠为14 mEq/L。患者对静脉输注高渗盐水有反应，随后完全康复。啤酒狂饮综合征是该患者低钠血症最可能的病因，这是一种罕见的疾病，饮食中钠和蛋白质不足会导致稀释性低钠血症。
