以低钠血症为首发症状的小细胞肺癌麻醉1例
Medical Information(2015)
Abstract
1 临床资料 患者,女性,年龄71岁,体重71kg.因昏迷在当地医院就诊,监测电解质发现血钠112mmol/l,住院给予对症补钠后好转出院,未行其它检查.后因头晕、周身乏力就诊于我院,颅脑CT未见明显异常,查电解质发现血钠120mmol/l,诊断为“低钠血症”,随即给予补钠治疗,行胸部CT发现肺占位,“肺门多发肿块影,纵隔多发肿大淋巴结,考虑肿瘤并淋巴结转移可能性大,难以识别原发肿瘤”.随即入住胸外科诊治.患者平素身体一般,既往高血压病史10年,平时口服倍他乐克治疗,血压控制140/80mmHg左右.
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