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ALLͻl(f)(yn)صcѪY?zhn)׾?/h1>

2022-10-10 17:37:34

ALLͻl(f)(yn)صcѪY?zhn)׾? id=

һ6qŮͯ“l(f)Ѫ󮐳3”Ժo(w)ⲡʷԺƹz\鼱ܰͼ(x)ѪALLoVDLPL(zhng)‰A+tù+T(mn)ø+ɣT(do)ڻ17ͻȻF(xin)^ʹʹ˯Ѫc123mmol/LѪ92mmol/LѪ{B͸ĦȝB͸ĦB͸270mOsm/L^BMRIzδҊ(jin)@O(jin)y(c)ѪѪѪD(zhun)ø׹(xing)Ƥ|(zh)ȩͪ
o(w)ʷo(w)И(jng)ϵy(tng)Ѫ(rn)ǰg(dng)B(ti)(f)늽|(zh)gʳo(w)IaͻȻF(xin)cѪYǺԭ


(j)y(tng)Ӌ(j)סԺмs1/3ĵcѪYڿزm(dng)ھC
 
زm(dng)ھCsyndrome of inappropriate secretion of antidiuretic hormone, SIADHijЩʹw(ni)أADHڮ(qing)IϹ܌(du)ˮͨ͸Ķ(do)™C(j)wˮpcйԼϡԵĵcѪYһϵRF(xin)ľC

SIADH\(bio)(zhn)
1. Ѫcͣ130mmol/Lcߣ30mmol/L
2. Ѫ{B͸ĦȝB͸ĦB͸ͣС275mOsm/L
3. B͸ĦȝB͸ĦB͸>100mOsm/LɸѪB͸ĦȝB͸ĦB͸
4. o(w)ѪF(xin)
5. נٹܜpIƤ|(zh)ܜpʹõԭ

SIADHRF(xin)
ҪF(xin)ԭl(f)ıF(xin)ԼcѪYıF(xin)cѪYF(xin)ҪɵѪcİl(f)չٶȺͳ̶țQ
 
?Ѫc120mmoL/Ll(f)չ(l(f)^(gu)48Сr(sh))ĵcѪYߣֻͨp΢RYɟo(w)@m
 
?Ѫc120mmol/Lr(sh)RϿɳF(xin)˯I¡ӛ½עyԼеɰжϵK(gu)ϵKX(ju)e(cu)y֫p(j)ʧ{(dio)Եw
 
?̕r(sh)g(ni)<48hѪc½120mmol/Lɰl(f)Xˮ[l(f)Xpʸߡ
 
?Ѫc90-105mmol/Lr(sh)ɳF(xin)(yn)ˮж(do)

SIADHc(din)
1. o(w)ʳь(do)cz벻㼰I¸a(do)cGʧ^(gu)C(j)
2. o(w)ѪıF(xin)
3. ѪcѪ{B͸ĦȝB͸ĦB͸͡
4. δʹo(w)נټIٹܮ
5. иʹ^ʹ˯ȰYSIADH

ӑՓ
[УSIADH鸱CF(xin)ҲijЩˎ(do)£L(zhng)A(li)h(hun)Kԓڑ(yng)ÃɄL(zhng)‰AF(xin)ˇ(yn)صĵcѪY]L(zhng)‰A(do)µSIADH
 
L(zhng)‰Aͨ^(gu)(du)X(jng)ww~λֱ(jng)׃ADHڵB͸ĦȝB͸ĦB͸ƣl(f)ߵĵcѪYͯALL SIADHİl(f)L(fng)U(xin)ڽoˎ4-7_(d)ֵl(f)T(do)g
 
P(gun)L(zhng)‰A(do)ƒͯѪSIADHcѪYо(bo)Ҋ(jin)
 
?Hammond IWͨ^(gu)Y(li)ˎ˾ȫȫ(sh)(j)(k)l(f)F(xin)76cL(zhng)‰AʹP(gun)ĵcѪY/SIADHw(bo)ʹӋ(j)1.3/10f(wn)ίƽg35.6&plusmn;28.3qռ62%дs75%ĻѪܰίҁռ^(sh) 
 
?Salvador CȌ(du)98׷NALLͯM(jn)лоͬr(sh)о5(g)T(do)ίнL(zhng)‰Aăͯ[(du)Уϲķ˹[И(jng)ϵy(tng)z|(zh)ʸh˹(x)M(x)Y錦(du)ȡоl(f)F(xin)ALLcѪYl(f)ʸ_(d)14.7%СgԻ߾ӶĻ12_(ki)ʼѪcˮƽ@ʾcǵcѪY@[MĻߛ](mi)бF(xin)@ĵcѪYоͬr(sh)l(f)F(xin)ALLߵcѪY͸߸ѪY@غϣĶָвֵcѪYܞԵcѪYڸ֬ѪYߵѪY¡
 
?Janczar Sоóܰͼ(x)Ѫͯ(yn)صcѪYİl(f)ʞ11.9%(sh)ڵcѪYl(f)ǰýL(zhng)‰AίʾcL(zhng)‰AP(gun)cѪY֏(f)(du)^ҪίҺzzY
 
?Seetharam SȌ(du)ӡһ(j)YĽί166\СALLM(jn)оl(f)F(xin)SIADHİl(f)ʞ10.8%ƽcˮƽ125 mmol/L72%Ļڰl(f)ǰ2܃(ni)2-3L(zhng)‰Al(f)SIADHĻа딵(sh)](mi)κεcѪYıF(xin)бF(xin)İYҪиʹꡢdB^ʹcѪYƽm(x)r(sh)g2졣ÿλT(do)^(gu)ЃHl(f)^(gu)һεcѪY^m(x)M(jn)M(jn)һVCRo(w)κ΄׃SIADHo(w)(f)l(f)

ALLSIADHί
?o(w)YSIADHһ(xin)ίҺwͨ^(gu)(do)wҺؓ(f)ƽĶѪcĝÿˮ?jn)z횵ˮʧ(ҺSƤwͺ)
 
?߳F(xin)X(ju)˯IµȰYo}ݔעߝB}ˮ3%ȻcҺƵcѪY
 
?ע⣬^(gu)mcѪY(jng)ϵy(tng)ÓL(fng)U(xin)ԑ(yng)(yn)ca(b)Һٶ

Y(ji)
?ALL߽L(zhng)‰AɳF(xin)SIADH(do)µcѪYʹL(zhng)‰Agעӏ(qing)늽|(zh)O(jin)y(c)
 
?L(zhng)‰Al(f)SIADHT(do)gF(xin)Α(yng)L(zhng)‰Aо(li)ˎL(zhng)‰A(yng)Mߺá
 
?L(zhng)‰Al(f)ĵcѪYm(x)r(sh)gƽ2죬ίཛ(jng)Һwև(yn)߿a(b)3%ȻcҺ
 
?L(zhng)‰Al(f)ĵcѪYF(xin)pزһҰYȱخԣ(dng)߳F(xin)^ʹʹIR(sh)鴤ȱF(xin)r(sh)(yng)뵽cѪYĿܡ
 
?֬ѪYߵѪYɌ(do)ѪcԽעe

(w)֧

҂ϧÿһھ(xin)ԃ(xn)І(wn)شÌ(zhun)I(y)đB(ti)ȣNĵķ(w)

׌ܵ҂cͬ

ṩõĺw(yn)҂ṩ(zhun)I(y)Č(zhun)(xin)ԃ(xn)T(mn)ǢՄ(w)

Ҋ(jin)(wn)}

P(gun)ڮa(chn)Ʒʹۺ(w)ȸNҊ(jin)(wn)}

ۺ

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