国际妇产科学杂志 ›› 2020, Vol. 47 ›› Issue (1): 50-54.

• 病例报告 • 上一篇    下一篇

顺铂化疗致重度低钠血症一例并文献复习

李广,王卉,李子扬,刘国炳   

  1. 510515 广州,南方医科大学南方医院妇产科
  • 收稿日期:2019-07-18 修回日期:2019-09-02 出版日期:2020-02-15 发布日期:2020-02-07
  • 通讯作者: 刘国炳,E-mail:guobingliu6081@sina.com E-mail:guobingliu6081@sina.com
  • 基金资助:
    广东省科技计划项目(2016A02021521)

Severe Hyponatremia Caused by Cisplatin Chemotherapy: A Case Report and Literature Review

LI Guang, WANG Hui, LI Zi-yang, LIU Guo-bing   

  1. Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
  • Received:2019-07-18 Revised:2019-09-02 Published:2020-02-15 Online:2020-02-07
  • Contact: LIU Guo-bing, E-mail: guobingliu6081@sina.com E-mail:guobingliu6081@sina.com
  • Supported by:
     

摘要: 顺铂在临床上应用广泛,常与多种化疗药物联合用于治疗肺癌、头颈部肿瘤、食管癌、妇科及泌尿系统肿瘤,疗效肯定。顺铂化疗导致的低钠血症临床不常见,发生率为4%~10%,重度低钠血症更为罕见。在使用含铂方案化疗过程中应警惕低钠血症的发生,其发病隐匿,发生机制不尽相同,需及时、准确地判断,并有效地处理。本文报告1例妊娠滋养细胞肿瘤化疗过程中出现的严重低钠血症,对其病因展开分析,并提出治疗建议。

关键词: 顺铂, 药物疗法, 联合, 妊娠滋养细胞疾病, 低钠血症, ADH分泌不当综合征

Abstract: Cisplatin is widely used in clinic. It is often used in combination with other chemotherapeutic drugs in the treatment of lung cancer, head and neck cancer, esophageal cancer, gynecological and urinary system cancer. Hyponatremia caused by cisplatin chemotherapy is uncommon in clinic, with the incidence of 4%-10%. Severe hyponatremia is rare. Special attention should be paid to the occurrence of hyponatremia in the course of chemotherapy with platinum-containing chemotherapy regimen. The symptoms of the disease are atypical and the mechanism is different. It needs timely and accurate diagnosis and effective treatment. This paper reports a case of severe hyponatremia in gestational trophoblastic neoplasm during chemotherapy. The etiology was analyzed and treatment suggestions were put forward.

Key words: Cisplatin, Drug therapy, combination, Gestational trophoblastic disease, Hyponatremia, Syndrome of inappropriate secretion of antidiuretic hormone

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