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Hiponatremia severa, también conocida como hiponatremia. Un estudio de 17 pacientes
Lancet (London, England)
|March 25, 1978
Resumen
La hiponatremia grave en los pacientes se relacionó con una alta cantidad de hormona antidiurética (ADH). Los niveles. los niveles. los niveles. El síndrome de secreción inapropiada de TDAH. (S.I.A.D.H.) es el nombre de la organización. se cuestiona el diagnóstico, lo que sugiere una terminología más simple para un mejor uso clínico.
Área de la Ciencia:
- Endocrinología Endocrinología.
- Nefrología Nefrología.
- Oncología Oncología.
Sus antecedentes:
- La hiponatremia grave es una condición compleja a menudo asociada con un aumento de la hormona antidiurética (ADH). En el caso de las personas que se encuentran en situación de exclusión social.
- El síndrome de secreción inadecuada de la hormona antidiurética (SIADH) es una etiqueta de diagnóstico común, pero su utilidad clínica y la fisiopatología subyacente requieren más investigación.
Objetivo del estudio:
- Para investigar la relación entre el A.D.H. plasmático y el A.D.H. plasmático niveles, la concentración de sodio en plasma y los diagnósticos clínicos en pacientes con hiponatremia grave.
- Evaluar la idoneidad y la utilidad clínica del S.I.A.D.H. El diagnóstico. el diagnóstico. el diagnóstico.
Principales métodos:
- Análisis del plasma A.D.H. y los niveles de sodio en plasma en 17 pacientes con hiponatremia grave.
- Correlación de los niveles hormonales y las concentraciones de sodio con los diagnósticos clínicos, incluida la infección torácica, el carcinoma de pulmón y el agotamiento del volumen.
Principales resultados:
- Todos los 17 pacientes exhibieron A.D.H. excesivamente alto en plasma. niveles, pero sólo 13 cumplían con los criterios típicos de S.I.A.D.H.D.
- A.D.H. por Plasma y A.D.H. por Plasma. los niveles no se correlacionaron con el sodio en plasma o diagnósticos específicos.
- Los pacientes con infección torácica o agotamiento del volumen mostraron una rápida normalización del sodio plasmático y la A.D.H., mientras que aquellos con carcinoma pulmonar tuvieron una corrección más lenta.
Conclusiones:
- El término S.I.A.D.H. es el término puede simplificar en exceso la fisiopatología y ofrece un valor limitado en el manejo del paciente y el pronóstico.
- Una terminología más descriptiva, como "hiponatremia con carcinoma de pulmón", podría mejorar la claridad clínica y la utilidad.
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