精神性烦渴导致低钠性昏迷和癫痫

• 作 者: 陶旨琴
• 出 处: 国外医学(内科学分册)
• 发表日期: 1985年12期
• 关键词: 精神性烦渴 低钠性 精神病人 低钠血症 鉴别诊断 行为异常 内科急诊 充血性心力衰竭 尿钠 精神病患者

精神性烦渴作为诱发低钠血症的原因并最后导致昏迷和癫痫,或甚至死亡。本病在文献中仍属罕见。鉴于目前门诊病人中行为异常者有增加趋势,内科急诊医生也必然将遇到继发于精神性烦渴的低钠血症病例。本文强调急症中遇到癫痫和昏迷的精神病人时,都应考虑到精神性烦渴,作为一项鉴别诊断。

Mental polydipsia is the cause of hyponatremia and eventually leads to coma and epilepsy, or even death. The disease is still rare in the literature. In view of the current trend of outpatient abnormalities have increased, medical emergency physicians will inevitably encounter secondary to mental disability in patients with hyponatremia. This article emphasizes mental illness in patients with epilepsy and coma mental illness, should consider the spirit of polydipsia, as a differential diagnosis.