12 cases of inappropriate antidiuretic hormone secretion SIADH in clinical analysis.docVIP

 PAGE \* MERGEFORMAT 12 12 cases of inappropriate antidiuretic hormone secretion SIADH in clinical analysis Author: Macan-jun Mao Ai-Jun Xiong Xiao-qin [Abstract] Objective To know the syndrome of inappropriate antidiuretic hormone secretion, SIADH (syndrome of inappropriate antidiuretic hormone secretion, SIADH) the clinical manifestations for early diagnosis, earlier a clear etiology, raising the level of clinical treatment. Methods A retrospective analysis of clinical data of 12 cases of SIADH, clearly the results of diagnostic methods and treatment of cure and improvement in 9 cases (75%), and 3 died (25%). Conclusion Early diagnosis and timely treatment to find the cause is the key to treatment. Keywords:: anti-diuretic hormone secretion, SIADH early diagnosis and treatment of Imbalance syndrome of inappropriate antidiuretic hormone secretion (SIADH) is the endogenous anti-diuretic hormone (ADH) secretion anomalies increased, resulting in the body of water retention, dilutional hyponatremia, urinary natriuresis and urine osmolality increased number of clinical syndrome [1]. Can be caused by a variety of reasons. Now in our hospital in June 1999 ~ the December 2006 treated 12 patients with detailed clinical data in patients with SIADH were retrospectively analyzed with a view to early diagnosis of SIADH, clear cause, especially for patients with malignant tumor of early diagnosis, early treatment to improve the prognosis. 1 Data and methods 1.1 General Information 12 cases of patients, 8 males and 4 females, aged 56 to 70 years old, mean age (63.13 ± 4.41) years of age. Clinical features: loss of appetite, nausea, vomiting in 6 cases, 3 cases of psychosis, lethargy 2 cases, abdominal distention with oliguria in 1 case. All patients had no dehydration and edema, normal blood pressure, heart, kidney, liver, adrenal gland, thyroid function was normal. From discovery to diagnosis of hyponatremia for SIADH, the