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[药物性抗利尿激素分泌不当综合征(SIADH)。文献综述]

[Drug-induced syndrome of inappropriate secretion of antidiuretic hormone (SIADH). Review of literature].

作者信息

Verstraeten L, Dewier B, Montjoie C, Hassoun A

机构信息

Service de Biochimie Médicale, Cliniques Universitaires St-Luc, Bruxelles, Belgique.

出版信息

J Pharm Belg. 1993 May-Jun;48(3):227-32.

PMID:8410627
Abstract

The syndrome of inappropriate antidiuretic hormone secretion (SIADH) is caused by an incapacity of plasmatic hypotonia to inhibit antidiuretic hormone (ADH) secretion. This phenomenon leads to a water retention and an expanded extracellular fluid volume, and secondary to a dilution of plasmatic sodium and also to a renal loss of sodium. The SIADH is a relatively rare syndrome, which may occur in various circumstances: central nervous system diseases, cancers, infections... Sometimes, it may be observed as a drug-related side effect: carbamazepine, chlorpropamide, antidepressors, anticancer drugs are particularly involved.

摘要

抗利尿激素分泌不当综合征(SIADH)是由血浆低渗状态无法抑制抗利尿激素(ADH)分泌所致。这种现象会导致水潴留和细胞外液量增加,继而引起血浆钠稀释以及肾性失钠。SIADH是一种相对罕见的综合征,可发生于多种情况:中枢神经系统疾病、癌症、感染……有时,它可能表现为药物相关的副作用:尤其涉及卡马西平、氯磺丙脲、抗抑郁药、抗癌药。

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