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  • 期刊

Syndrome of Inappropriate Antidiuretic Hormone Secretion and Diabetes Insipidus in an Infant Following Surgery

全身麻醉後之嬰兒發生抗利尿激素不適當分泌症候群及尿崩症之病例報告

摘要


抗利尿激素不適當分泌症候群及尿崩症同時發生在一個病人身上是十分罕見的。我們報告一個九個月大的男嬰,因其有前腦發育畸形症,而於接受第三次手術後,在短時間內相繼發生抗利尿激素不適當分泌症候群及尿崩症的病例報告。無法適當的抑制及刺激精氨酸增壓素的分泌應是可能的原因。

並列摘要


Syndrome of inappropriate secretion of antidiuretic hormone and diabetes insipidus occurring in very short order in the same patient is rare. We report a 9 month-old male infant suffering form holoprosencephaly developed syndrome of inappropriate secretion of antidiuretic hormone followed by diabetes insipidus within a relative short time postoperatively after his third operation. Inability to suppress as well as to stimulate arginine vasopressin secretion and anesthetic and surgical stresses, were thought to be the possible causes of this event.

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