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[假性醛固酮减少症。另一例病例报告(作者译)]

[Pseudohypoaldsteronism. A further case report (author's transl)].

作者信息

Stubbe P, Manouguian G

出版信息

Monatsschr Kinderheilkd (1902). 1977 Apr;125(4):234-7.

PMID:857148
Abstract

The clinical symptomatology and diagnostic procedures of pseudohypoaldosteronism in an 8 days old male newborn infant are described. The course of the disease was initially characterized by failure to thrive, renal salt loss, hyponatremia and hyperkalemia. Daily treatment with 3 g sodium chloride improved symptoms. Hydrocortisone and desoxycortiscosteronacetate were without any effect. Urinary aldosterone excretion was increased 10 to 20 times of normal. 17 ketosteroid and pregananetriol were normal. The infant died of ulcerative enterocolitis at the age of 1 1/2 years. Beside the first description of the disease by Cheek et al. (1958) 13 further publications have been collected from the literature. Symptoms at the beginning, sex, serum electrolytes, aldosterone excretion, somatic development, observation period, treatment and duration of therapy are compared with the presented case report.

摘要

描述了一名8日龄男婴的假性醛固酮减少症的临床症状和诊断过程。疾病过程最初的特征为生长发育不良、肾失盐、低钠血症和高钾血症。每日用3克氯化钠治疗可改善症状。氢化可的松和醋酸去氧皮质酮无效。尿醛固酮排泄增加至正常的10到20倍。17-酮类固醇和孕三醇正常。该婴儿于1岁半时死于溃疡性小肠结肠炎。除了Cheek等人(1958年)对该病的首次描述外,还从文献中收集了另外13篇出版物。将开始时的症状、性别、血清电解质、醛固酮排泄、身体发育、观察期、治疗及治疗持续时间与本病例报告进行了比较。

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