适应障碍继发低钠血症的访谈与治疗  

Interview and treatment of hyponatremia secondary to adaptive disorders

作　　者：张金冉[1] 李洁 钟丽萍 张道龙 Zhang Jinran;Li Jie;Zhong Liping;Zhang Daolong(Yan'an University Hospital,Yan'an 716000,China;Wuxi Mental Health Center,Wuxi 214151,China;Beijing Huayou Psychiatric Hospital,Beijing 102200,China)

机构地区：[1]延安大学附属医院,陕西延安716000 [2]无锡市精神卫生中心,江苏无锡214151 [3]北京华佑精神康复医院,北京102200

出　　处：《四川精神卫生》2020年第1期76-78,共3页Sichuan Mental Health

摘　　要：本文目的是通过报道病例诊疗过程,呈现适应障碍继发低钠血症的临床诊疗思路及治疗方案的制定。咨客是一位54岁已婚男性,因为管理企业压力大,生活没有规律、经常熬夜逐渐出现失眠,予以SSRIs类药物(百忧解、左洛复)治疗后出现肢体乏力、懒言少语、轻体力劳动以后就会感到疲乏,化验检查明确有低钠血症,经本次咨询,被诊断为适应障碍继发低钠血症。建议采用生物-心理-社会综合干预方法,鼓励咨客加强运动,口服NaSSA类抗抑郁药米氮平缓解焦虑、阻止水盐代谢,限制液体摄入量,心理治疗推荐正念减压治疗。The purpose of this article was to present the clinical diagnosis and the treatment ideas of adaptation disorders through reporting detail case study.The patient was a 54-year-old married men.He had a irregular life,often stayed up late and gradually appeared insomnia.He was prescribed with SSRIs medication(Prozac,Zoloft),but took medicine made him short-spoken,often felt tired after light physical labor.Then he was found to have hyponatremia by laboratory tests.After the consultation,he was diagnosed with hyponatremia secondary to adjustment disorder.Biological-psychological-social integrated intervention was recommended including emphasis on exercise,with the NaSSA antidepressant Mirtazapine taken orally to relieve anxiety.Meanwhile,a low-salt diet which could prevent water and salt metabolism was recommended.Psychotherapy recommendation was mindful stress reduction.

关 键 词：适应障碍 低钠血症 心理治疗 

分 类 号：R395.3[哲学宗教—心理学]