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本文对抗利尿激素分泌不当综合征1例分析如下。1病历摘要女,72岁。因发热20 d余,于2010-08-21入院。患者诉20d前无明显诱因出现发热,体温达38.9℃,伴畏寒,胸闷,气短,无咳嗽、
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本文对抗利尿激素分泌不当综合征1例分析如下。1病历摘要女,72岁。因发热20 d余,于2010-08-21入院。患者诉20d前无明显诱因出现发热,体温达38.9℃,伴畏寒,胸闷,气短,无咳嗽、咳痰,某三甲医院查肺CT示:两侧胸膜增厚,考虑胸膜炎;腹部CT示脂肪肝、肾囊肿,余(-)。诊断为肺炎,与双黄连、左氧氟沙星等治疗,体温仍在38.0℃以上,遂转入我院。既往脊髓瘤(胶质瘤)术后20 a余,膀胱癌术后10 a余,现截瘫8 a余,
This article against inappropriate secretion of diuretic hormone syndrome in 1 case analyzed as follows. 1 medical record summary female, 72 years old. Because of fever more than 20d, admitted to the 2010-08-21. Patients complained of 20d before the onset of fever, body temperature reached 38.9 ℃, with chills, chest tightness, shortness of breath, no cough, sputum, a top three hospital examination of lung CT showed: pleural thickening on both sides, consider pleurisy; abdominal CT showed fat Liver, kidney cysts, Yu (-). Diagnosis of pneumonia, and Shuanghuanglian, levofloxacin and other treatment, the body temperature is still above 38.0 ℃, then transferred to our hospital. Previous myeloma (glioma) more than 20 a after surgery, bladder cancer after more than 10 a, now more than 8 a paraplegia,
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