Coslovsky R, Bruck R, Estrov Z
Arch Intern Med. 1984 Jan;144(1):191-2.
Hyponatremia and hypo-osmolality developed in a 70-year-old patient. It was probably mediated by hypersecretion of antidiuretic hormone, which, in turn, was due to prolonged nausea and vomiting. Severe esophagitis was the cause of the nausea. The patient was not given large amounts of fluids intravenously, and it is likely that she continued to drink for nondipsetic reasons. In view of her medical history of neurosyphilis, the possibility of a disturbance in the mechanism of thirst regulation is discussed, but remains unproved.
一名70岁患者出现了低钠血症和低渗状态。这可能是由抗利尿激素分泌过多介导的，而抗利尿激素分泌过多又是由长期恶心和呕吐引起的。严重食管炎是恶心的原因。该患者未接受大量静脉补液，并且她可能出于非口渴原因继续饮水。鉴于她有神经梅毒病史，讨论了口渴调节机制紊乱的可能性，但仍未得到证实。
