首页> 外文期刊>Indian journal of palliative care >Persistent Hiccups in Cancer Patient: A Presentation of Syndrome of Inappropriate Antidiuretic Hormone Induced Hyponatremia
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Persistent Hiccups in Cancer Patient: A Presentation of Syndrome of Inappropriate Antidiuretic Hormone Induced Hyponatremia

机译:癌症患者的持续性打::一种不适当的抗利尿激素引起的低钠血症综合征

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Hyponatremia is quite common in cancer patients, but the presentation as persistent hiccups is not common. Literature over hiccups development due to hyponatremia is quite scant. Hiccups are of various types, persistent hiccups are those that last more than 48 h and remains less than 1 month. Hiccups lasting more than 24 h require investigation for an underlying organic etiology, with hyponatremia included in the differential diagnosis. This paper discusses a carcinoma lip patient presented with the persistent hiccups and unconsciousness post-operatively. The patient was initially responded with trials of both metoclopramide and Ryle's tube insertion, but eventually, his hiccups resolved only after treatment of hyponatremia. Patient's clinical course and investigations suggest an etiology of syndrome of inappropriate antidiuretic hormone (SIADH) secretion behind the hyponatremia. Study suggested that SIADH linked hyponatremia should be considered in the differential diagnosis of cancer patients with refractory hiccups.Keywords: Hiccups, Hyponatremia, Syndrome of inappropriate antidiuretic hormone
机译:低钠血症在癌症患者中很常见,但持续性打ic的表现并不常见。关于低钠血症引起的打ic发展的文献很少。打有多种类型,持续性打ic持续时间超过48小时且持续时间少于1个月。持续超过24小时的打ic需要调查潜在的器质性病因,在鉴别诊断中应包括低钠血症。本文讨论了一名唇癌患者,术后出现持续性打ic和意识不清。该患者最初接受了甲氧氯普胺和Ryle的管插入试验,但最终,他的打ic只有在低钠血症治疗后才缓解。患者的临床历程和调查结果提示,低钠血症背后的抗利尿激素(SIADH)分泌异常综合征的病因。研究表明,在难治性打ic的癌症患者的鉴别诊断中应考虑SIADH相关性低血钠症。关键词:打ic,低钠血症,抗利尿激素不适综合征

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