垂体前叶功能减退症致顽固性低钠血症的临床特征研究  

Characteristics of refractory hyponatremia induced by hypopituitarism

作　　者：肖天梅[1] 李乐愚[1] 林泽宏[1] 

机构地区：[1]中山市中医院内分泌科,528401

出　　处：《国际医药卫生导报》2013年第3期391-393,共3页International Medicine and Health Guidance News

摘　　要：目的分析17例垂体前叶功能减退导致的顽固性低钠血症患者的临床特征，探讨其病因、临床表现及治疗方法。方法回顾性分析17例垂体前叶功能减退致顽固性低钠血症患者的临床表现、实验室检查及病因，归纳其临床发病特征及治疗方法。结果垂体前叶功能减退导致的顽同性低钠血症临床症状复杂，常规补钠及补液不能改善低钠血症，予以糖皮质激素治疗后，病情迅速缓解。结论对于顽固性低钠血症患者应常规进行垂体前叶功能检查，提高对垂体前叶功能减退所导致的低钠血症的认识，从而避免盲目补钠，延误病情。Objective To analyze the clinical characteristics of refractory hyponatremia induced by hy- popituitarism in seventeen patients and to explore the etiology, clinical symptoms, and treatment. Methods The clinical symptoms, laboratory results and etiology were retrospectively analyzed in seventeen patients with refractory hyponatremia caused by hypopituitarism. The clinical characteristics and therapies were summarized.Results The symptoms were complicated in patients with hypona^emia caused by hypopituitarism. Regular complement of salt and water did not improve and hyponatremia; whereas therapies with glucocorticoids could efficiently treat refractory symptoms and hyponatremia. Conclusions Routine examination of adenohypophysis function should be performed in patients with refractory hyponatremia. Hypopituitarism is an important cause of refractory hyponatremia. Salt should not be complemented blindly to avoid the delay of proper treatment.

关 键 词：垂体前叶功能减退 低钠血症 糖皮质激素 

分 类 号：R584.2[医药卫生—内分泌]