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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”ԺoⲡʷԺƹz飬\鼱ܰͼ(x)ѪALLoVDLPL‰A+tù+Tø+ɣT(do)ڻ17ͻȻF(xin)^ʹʹ˯Ѫc123mmol/LѪ92mmol/LѪ{B͸ĦȝB͸ĦB͸270mOsm/L^BMRIzδҊ@O(jin)yѪѪѪD(zhun)ø׹(xing)Ƥ|(zh)ȩͪ
oʷoИ(jng)ϵy(tng)Ѫǰg(dng)B(ti)(f)늽|(zh)gʳoIaͻȻF(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܌ˮͨ͸ԣĶ(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. oѪF(xin)
5. נٹܜpˡIƤ|(zh)ܜpʹõԭ

SIADHRF(xin)
ҪF(xin)ԭl(f)ıF(xin)ԼcѪYıF(xin)cѪYF(xin)ҪɵѪcİl(f)չٶȺͳ̶țQ
 
?Ѫc120mmoL/Ll(f)չ(l(f)^48Сr(sh))ĵcѪYֻͨp΢RYɟo@m
 
?Ѫc120mmol/Lr(sh)RϿɳF(xin)˯I¡ӛ½עyԼеɰжϵK(gu)ϵKXe(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. oʳь(do)cz벻㼰I¸a(do)cGʧ^C(j)
2. oѪıF(xin)
3. ѪcѪ{B͸ĦȝB͸ĦB͸
4. δʹ򄩣oנټIٹܮ
5. иʹ^ʹ˯ȰYSIADH

ӑՓ
[SIADH鸱CF(xin)ҲijЩˎ(do)LAh(hun)Kȡԓڑ(yng)ÃɄL‰AF(xin)ˇ(yn)صĵcѪY]L‰A(do)µSIADH
 
L‰Aͨ^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‰A(do)ƒͯѪSIADHcѪYо(bo)Ҋ
 
?Hammond IWͨ^Yˎ˾ȫȫ(sh)(j)l(f)F(xin)76cL‰AʹP(gun)ĵcѪY/SIADHw(bo)ʹӋ(j)1.3/10fίƽg35.6&plusmn;28.3qռ62%дs75%ĻѪܰίҁռ^(sh) 
 
?Salvador CȌ98׷NALLͯM(jn)лоͬr(sh)о5(g)T(do)ίнL‰Aăͯ[(du)Уϲķ˹[И(jng)ϵy(tng)z|(zh)ʸh˹(x)M(x)Y錦ȡоl(f)F(xin)ALLcѪYl(f)ʸ_(d)14.7%СgԻ߾Ӷ࣬Ļ12_ʼѪcˮƽ@ʾcǵcѪY@[MĻߛ]бF(xin)@ĵcѪYоͬr(sh)l(f)F(xin)ALLߵcѪY͸߸ѪY@غϣĶָвֵcѪYܞԵcѪYڸ֬ѪYߵѪY¡
 
?Janczar Sоóܰͼ(x)Ѫͯ(yn)صcѪYİl(f)ʞ11.9%(sh)ڵcѪYl(f)ǰýL‰AίʾcL‰AP(gun)cѪY֏(f)^ҪίҺzzY
 
?Seetharam SȌӡһYĽί166\СALLM(jn)оl(f)F(xin)SIADHİl(f)ʞ10.8%ƽcˮƽ125 mmol/L72%Ļڰl(f)ǰ2܃(ni)2-3L‰Al(f)SIADHĻУа딵(sh)]κεcѪYıF(xin)бF(xin)İYҪиʹꡢdB^ʹcѪYƽm(x)r(sh)g2ÿλT(do)^ЃHl(f)^һεcѪY^m(x)M(jn)M(jn)һVCRoκ΄׃SIADHo(f)l(f)

ALLSIADHί
?oYSIADHһίҺwͨ^(do)wҺؓ(f)ƽĶѪcĝȣÿˮ?jn)z횵ˮʧ(ҺSƤwͺ)
 
?߳F(xin)X˯IµȰYo}ݔעߝB}ˮ3%ȻcҺƵcѪY
 
?ע^mcѪY(jng)ϵy(tng)ÓL(fng)U(xin)ԑ(yng)(yn)ca(b)Һٶ

Y(ji)
?ALL߽L‰AɳF(xin)SIADH(do)µcѪYʹL‰Agעӏ(qing)늽|(zh)O(jin)y
 
?L‰Al(f)SIADHT(do)gF(xin)Α(yng)L‰AоˎL‰A(yng)Mߺ
 
?L‰Al(f)ĵcѪYm(x)r(sh)gƽ2ίཛ(jng)Һwև(yn)߿a(b)3%ȻcҺ
 
?L‰Al(f)ĵcѪYF(xin)pزһҰYȱخ(dng)߳F(xin)^ʹʹI¡R(sh)鴤ȱF(xin)r(sh)(yng)뵽cѪYĿܡ
 
?֬ѪYߵѪYɌ(do)ѪcԽעe

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