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慢性呼吸系统疾病中的抗利尿激素分泌异常综合征(SIADH):综述

Syndrome of Inappropriate Antidiuretic Hormone (SIADH) in Chronic Respiratory Diseases: A Comprehensive Review.

作者信息

Al Zaman Khaled, Alhebsi Aaesha A, Almheiri Abdulaziz, Alhosani Hind, Alshehhi Nada T, Alwheibi Eissa S

机构信息

Internal Medicine, Cleveland Clinic Abu Dhabi, Abu Dhabi, ARE.

Internal Medicine, Cleveland Clinic Abu Dhabi‎, Abu Dhabi, ARE.

出版信息

Cureus. 2025 Jan 13;17(1):e77407. doi: 10.7759/cureus.77407. eCollection 2025 Jan.

Abstract

The syndrome of inappropriate antidiuretic hormone secretion (SIADH) is a complex and often underdiagnosed disorder characterized by impaired water homeostasis, leading to hyponatremia and associated complications. This comprehensive review explores the intersection of SIADH with chronic respiratory diseases, including chronic obstructive pulmonary disease (COPD), pulmonary tuberculosis, cystic fibrosis, and interstitial lung disease. The review looks at current evidence on pathophysiology, diagnostic challenges, and treatment approaches, highlighting the need for specialized management strategies to improve patient outcomes. Through an analysis of clinical and observational studies, this review highlights the significant impact of SIADH on morbidity and mortality among patients with respiratory diseases. It illustrates the necessity for further research to refine diagnostic and therapeutic modalities.

摘要

抗利尿激素分泌不当综合征(SIADH)是一种复杂且常被漏诊的疾病,其特征为水稳态受损,导致低钠血症及相关并发症。这篇综述全面探讨了SIADH与慢性呼吸系统疾病的交叉关系,包括慢性阻塞性肺疾病(COPD)、肺结核、囊性纤维化和间质性肺疾病。该综述审视了有关病理生理学、诊断挑战和治疗方法的现有证据,强调了采用专门管理策略以改善患者预后的必要性。通过对临床和观察性研究的分析,本综述突出了SIADH对呼吸系统疾病患者发病率和死亡率的重大影响。它阐明了进一步开展研究以完善诊断和治疗方式的必要性。

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