amiodarone誘發(fā)的抗利尿激素不適當分泌癥候群-資料下載頁
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【正文】 osmolality ( mmol/kg )240264Urine sodium ( mmol/L )141Urine osmolality ( mmol/kg )422730Liver enzyme levelsNormalThyroid function testNormalNormalCorticotropin stimulation testNegativeNegative表三 根據(jù)病患血清鈉值的數(shù)值計算3%NaCl輸注速率公式血鈉濃度改變程度 ＝ 輸注Na+ － 血中Na+ 總體水分*（total body water） ＋ 1（每公升3%NaCl輸注液對血鈉可造成的預估效應）*總體水分（total body water）＝ 體重（公斤） 比率 比率：小孩 = ；成人：男性 = ；老年人：圖一 Key elements in water homeostasis. Solid lines indicate osmotically stimulated pathways, and dashed lines indicate volumestimulated pathways. The dotted lines indicate negative feedback pathways. ANP, atrial natriuretic peptide；OPR, oropharyngeal reflex.柒、參考資料1. Adrogue H. J., Madias N. E. Primary care：hyponatremia. (2000) N. Engl. J. Med. 342, 15811589.2. Mulloy A. L., Caruana R. J. Hyponatremic emergencies. (1995) Med. Clin. North. Am. 79, 155168.3. Burtis C. A., Ashwood E. R. Tietz fundamentals of clinical chemistry. (1996) 4th ed. Ch. 34. 4. Patel G. P., Kasiar J. B. Syndrome of inappropriate antidiuretic hormone – induced hyponatremia associated with amiodarone. (2002) Pharmacotherapy 22 (5), 649651.5. Odeh M., Schiff E., Oliven A. Hyponatremia during therapy with amiodarone. (1999) Arch. Intern. Med. 159, 25992600.6. Mark H., Beers M. D. The Merck Manual (1999) 17th . 126130. 7. Moses A. M., Streeten DHP. Syndrome of inappropriate AVP secretion. Harrison’s principles of internal medicine. (1998) 2009~2011.8. Miller M. Inappropriate antidiuretic hormone secretion. (1994) Curr. Ther. Endocrinol. Metab. 5, 206~209.
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