小细胞肺癌合并抗利尿激素异常分泌综合征研究进展.pdfVIP

路1256路 涓浗鑲跨槫涓村簥 2009 骞寸36 鍗风21 鏈 路 路 缁 杩 灏忕粏鑳炶偤鐧屽悎骞舵姉鍒╁翱婵€绱犲紓甯稿垎娉岀患鍚堝緛鐮旂┒杩涘睍 濮 鍋 缁艰堪 姊 鍐 瀹℃牎 闈掑矝澶у鍖诲闄㈤檮灞炲尰闄㈣偪鐦ょ 锛堝北涓滅渷闈掑矝甯 266003锛 鎽樿 灏忕粏鑳炶偤鐧屾偅鑰呭父鍚堝苟鎶楀埄灏挎縺绱犲紓甯稿垎娉岀患鍚堝緛锛圫IADH锛夛紝鍏跺彂鐢熺洰鍓嶈涓轰富瑕佹槸鑲跨槫缁嗚優鍒嗘硨鍙 鑽墿搴旂敤寮曡捣浣撳唴鎶楀埄灏挎縺绱犲澶氾紝寮曡捣浣撳唴姘撮挔浠ｈ阿骞宠　绱婁贡锛屽鑷翠笉鍚岀▼搴︾殑浣庨挔琛€鐥囷紝涓村簥鐥囩姸澶氭牱锛岃〃鐜 鏃犵壒寮傛€э紝灏ゅ叾涓庤偪鐦ゅ紩璧风殑鐥囩姸绫讳技锛屾瀬鏄撻€犳垚璇瘖銆佹紡璇娿€傛不鐤椾笂鍦ㄧН鏋佹不鐤楀師鍙戣偪鐦ゅ熀纭€涓婏紝涓ユ牸闄愭按鏄湁 鏁堝拰涓昏鐨勬柟娉曪紝灏忕粏鑳炶偤鐧屾偅鑰呭悎骞舵姉鍒╁翱婵€绱犲紓甯稿垎娉岀患鍚堝緛棰勫悗鐩稿叧鐮旂┒缁撴灉涓嶄竴鑷达紝澶氳涓烘槸棰勫悗涓嶈壇 鐨勭嫭绔嬪洜瀛愩€ 鍏抽敭璇 灏忕粏鑳炶偤鐧 鎶楀埄灏挎縺绱犲紓甯稿垎娉岀患鍚堝緛 浣庨挔琛€鐥 doi:10.3969/j.issn. 1000-8179.2009.21.016 Syndrome of Inappropriate Antidiuretic Hormone Secretion in Small Cell Lung Cancer JIANG Jian, LIANG Jun Corresponding author: LIANG Jun, E-mail: jiangjian_006@163.com Department of Oncology, The Affiliated Hospital Of Qingdao University Medical College, Qingdao 266003, Chi- na Abstract Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) was a common complica- tion of small cell lung cancer (SCLC). Recent studies have suggested that the origin of this disease is related to seceration of tumor cells and application of medecine. The inappropriate antidiuretic hormone secretion can lead to disturbance of metabolism of water and sodium, resulting in hyponatremia. Because the symp- toms are atypical, the diagnosis is difficult. Many cases are misdiagnosed or misseddiagnosed. The primary tumor must be treated and the restriction of water intake is the main and effective method to deal with SIADH. Prognosis of SCLC patients with SIADH is poor in most reports. Keywords Small cell lung cancer (SCLC); SIADH; Hyponatremia 鎶楀埄灏挎縺绱犱笉閫傚綋鍒嗘硨缁煎悎寰侊紙syndromeofin- 鐗┿€侀晣鐥涜嵂鐗╋紙鍚楀暋锛夈€佸櫥鍡被鍒╁翱鍓傘€侀