- 期刊
Hyponatremia Due to Pulmonary Tuberculosis - A Case Report and Literature Review
原發性肺結核併發低血鈉：病例報告及文獻回顧
摘要
Pulmonary tuberculosis (PTB) is a common disease with a high prevalence of mortality and morbidity in developing countries. Various complications of PTB have been reported. Pulmonary complications of TB can include hemoptysis, pneumothorax, bronchiectasis, extensive pulmonary destruction, malignancy, and chronic pulmonary aspergillosis. Subclinical electrolyte imbalances, including hyponatremia, are common in cases with PTB. Yet, clinical manifestations of hyponatremia caused by a complication of PTB rarely occur. We report a patient with newly diagnosed PTB, who received anti-tuberculosis treatment for few days only. She was admitted due to acute consciousness disturbance. Hyponatremia due to inappropriate antidiuretic hormone secretion caused by PTB was highly suspected. Her state of consciousness improved after administration of 3% normal saline.
並列摘要
肺結核（PTB）是一種常見的肺部疾病，在發展中國家有高死亡率和發病率。各種並發症已與PTB一起報告。肺部肺結核感染有許多的併發症，包括咯血，氣胸，支氣管擴張，肺廣泛破壞，惡性腫瘤，慢性肺曲黴菌病。臨床比較少見的症狀還有電解質失衡，例如低鈉血症。我們報告一個新確診的肺結核病例，並剛開始接受抗結核治療。病人由於低血鈉造成的急性意識障礙而住院。而此低血鈉懷疑是由肺結核造成的不適當的抗利尿激素分泌所造成。在補充高張生理食鹽水及恢復肺結核藥物後，病人情況迅速改善。
延伸閱讀
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