Ting S, Eshaghpour E
Am J Dis Child. 1980 Sep;134(9):873-4. doi: 10.1001/archpedi.1980.02130210057015.
After open heart surgery for the closure of an atrial septal defect, acute brain syndrome developed in a 5-year-old girl, this being documented by laboratory evidence of the syndrome of inappropriate antidiuretic hormone secretion (SIADH). Irritability and total disorientation were the first symptoms observed. She completely recovered after being treated with hypertonic saline solution and fluid restriction. The potentially serious outcome of the SIADH warrants early recognition and appropriate measures in children who suffer acute brain syndrome after open heart surgery.
一名5岁女孩在接受心脏直视手术以闭合房间隔缺损后,出现了急性脑综合征,实验室证据显示其患有抗利尿激素分泌异常综合征(SIADH)。最初观察到的症状是易怒和完全定向障碍。在接受高渗盐溶液治疗和液体限制后,她完全康复。SIADH的潜在严重后果要求对心脏直视手术后患有急性脑综合征的儿童进行早期识别并采取适当措施。