Trotoux J, Glickmanas M, Sterkers O, Trousset M, Pinel J
Ann Otolaryngol Chir Cervicofac. 1979 Jun;96(6):349-58.
Inappropriate secretion of antidiuretic hormone or Schwartz-Bartter syndrome is considered to be a paraneoplastic endocrine syndrome, most frequently associated with a small cell anaplastic carcinoma of the lung. The authors present a case of sub-glottal laryngeal carcinoma discovered several months after the onset of clinical (disturbances of conscious level) and laboratory (hyponatraemia, hypochloraemia, blood hypo-osmolarity which preservation of urinary sodium output) manifestations which form the original features of this syndrome, the criteria of which are reviewed. The y conclude by the need for complete examination, not excluding unusual sites of primary tumour.
抗利尿激素分泌不当或施瓦茨-巴特综合征被认为是一种副肿瘤性内分泌综合征,最常与肺小细胞间变性癌相关。作者报告了一例声门下喉癌病例,该病例在临床(意识水平障碍)和实验室(低钠血症、低氯血症、血液低渗而尿钠排出量保留)表现出现数月后才被发现,这些表现构成了该综合征的最初特征,文中对该综合征的诊断标准进行了回顾。作者总结指出,需要进行全面检查,不能排除原发性肿瘤的不寻常部位。