{"id":30676,"date":"2024-04-19T00:01:08","date_gmt":"2024-04-19T00:01:08","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=30676"},"modified":"2024-04-19T00:01:08","modified_gmt":"2024-04-19T00:01:08","slug":"%e6%8c%87%e5%8d%97%e5%85%b1%e8%af%86-l-2023%e4%bd%8e%e9%92%a0%e8%a1%80%e7%97%87%e4%b8%ad%e5%9b%bd%e4%b8%93%e5%ae%b6%e5%85%b1%e8%af%86%ef%bc%9a%e4%bd%8e%e9%92%a0%e8%a1%80%e7%97%87%e7%97%85%e5%9b%a0","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=30676","title":{"rendered":"\u6307\u5357\u5171\u8bc6 l 2023\u4f4e\u94a0\u8840\u75c7\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\uff1a\u4f4e\u94a0\u8840\u75c7\u75c5\u56e0\uff08CK\u7cbe\u8981\u6ce8\u91ca\u7248\u672c\uff09**"},"content":{"rendered":"<p>                                        CK\u6ce8\uff1a\u5c1d\u8bd5\u501f\u52a9\u516c\u4f17\u53f7\u524d\u671f\u6709\u5173\u4f4e\u94a0\u8840\u75c7\u548cSIAD\u7684\u5185\u5bb9\uff0c\u5bf9\u65b0\u7248\u4f4e\u94a0\u8840\u75c7\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\u8fdb\u884c\u6ce8\u91ca\u3002\u5176\u4f59\u6ce8\u91ca\u7248\uff1a<\/p>\n<ul>\n<li>\n<p>\u6307\u5357\u5171\u8bc6 l 2019\u4e2d\u56fd\u9ad8\u5c3f\u9178\u8840\u75c7\u4e0e\u75db\u98ce\u8bca\u7597\u6307\u5357-\u7cbe\u8981\u6ce8\u91ca\u7248\uff08\u5168\uff09**<\/p>\n<\/li>\n<li>\n<p>\u6307\u5357\u5171\u8bc6 l 2020\u4e2d\u56fd\u80a2\u7aef\u80a5\u5927\u75c7\u4e13\u5bb6\u5171\u8bc6\uff08CK\u7cbe\u8981\u6ce8\u91ca\u7248\uff09**<\/p>\n<\/li>\n<li>\n<p>\u5171\u8bc6\u6307\u5357 l 2022\u7279\u7eb3\u7efc\u5408\u5f81\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\uff08CK\u6ce8\u91ca\u9ad8\u7ea7\u7248\uff09**<\/p>\n<\/li>\n<li>\u6307\u5357\u5171\u8bc6 l 2024ADA\u6807\u51c6-\u7cd6\u5c3f\u75c5\u7684\u8bca\u65ad\u548c\u5206\u7c7b\uff08\u5168M\uff0c\u6ce8\u91ca\u6536\u85cf\u7248\uff09**<\/li>\n<\/ul>\n<hr>\n<p>\u6307\u5357\u5171\u8bc6 l 2023\u4f4e\u94a0\u8840\u75c7\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\u4f4e\u94a0\u8840\u75c7\u75c5\u56e0<\/p>\n<p>\uff08CK\u7cbe\u8981\u6ce8\u91ca\u7248\u672c\uff09<\/p>\n<p>\u4e2d\u534e\u533b\u5b66\u4f1a\u5185\u5206\u6ccc\u5b66\u5206\u4f1a\u7535\u89e3\u8d28\u7d0a\u4e71\u5b66\u7ec4\u3002\u901a\u4fe1\u4f5c\u8005:\u9648\u9002(&nbsp;\u4e2d\u56fd\u533b\u5b66\u79d1\u5b66\u9662\uff0c\u5317\u4eac\u534f\u548c\u533b\u5b66\u9662\u5317\u4eac\u534f\u548c\u533b\u9662\u5185\u5206\u6ccc\u79d1\uff0c\u56fd\u5bb6\u536b\u751f\u5065\u5eb7\u59d4\u5458\u4f1a\u5185\u5206\u6ccc\u91cd\u70b9\u5b9e\u9a8c\u5ba4\uff0c\u5317\u4eac 100730) \uff0c Email: chenshi@ pumch.cn\uff1b\u738b\u6842\u4fa0( \u5409\u6797\u5927\u5b66\u7b2c\u4e00\u533b\u9662\u5185\u5206\u6ccc\u4ee3\u8c22\u79d1\uff0c\u957f\u6625 130021) \uff0c Email: gwang168@ jlu.edu.cn\uff1b\u8d75\u5bb6\u519b( \u5c71\u4e1c\u7b2c\u4e00\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u5c71\u4e1c\u7701\u7acb\u533b\u9662\u5185\u5206\u6ccc\u4ee3\u8c22\u79d1\uff0c\u6d4e\u5357 250021) \uff0c Email: jjzhao@ sdu.edu.cn\u3002<\/p>\n<p>\u6307\u5357\u524d\u6587\u90e8\u5206\u7684\u6ce8\u91ca\u7248\u672c\uff1a<\/p>\n<ul>\n<li>\n<p>\u6307\u5357\u5171\u8bc6 l 2023\u4f4e\u94a0\u8840\u75c7\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\uff1a\u6982\u8ff0\uff08CK\u7cbe\u8981\u6ce8\u91ca\u7248\u672c\uff09**<\/p>\n<\/li>\n<li>\u6307\u5357\u5171\u8bc6 l 2023\u4f4e\u94a0\u8840\u75c7\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\uff1a\u4f4e\u94a0\u8840\u75c7\u5206\u7c7b\uff08CK\u7cbe\u8981\u6ce8\u91ca\u7248\u672c\uff09**<\/li>\n<\/ul>\n<hr>\n<p>\u4f4e\u94a0\u8840\u75c7\u5e38\u89c1\u75c5\u56e0<\/p>\n<p>\u5173\u4e8e\u4f4e\u94a0\u8840\u75c7\u75c5\u56e0\uff0c\u6307\u5357\u63a8\u8350\u610f\u89c1<\/p>\n<p>(1)\u6839\u636e\u8840\u6d46\u6e17\u900f\u538b\uff0c\u4f4e\u94a0\u8840\u75c7\u7684\u75c5\u56e0\u53ef\u4ece\u5047\u6027\u4f4e\u94a0\u8840\u75c7\uff64\u6e17\u900f\u538b\u8c03\u5b9a\u70b9\u91cd\u7f6e\uff64\u7b49\u6e17\u6027\u4f4e\u94a0\u8840\u75c7\uff64\u9ad8\u6e17\u6027\u4f4e\u94a0\u8840\u75c7\u548c\u4f4e\u6e17\u6027\u4f4e\u94a0\u8840\u75c7\u7b49\u65b9\u9762\u8003\u8651\uff0c\u5efa\u8bae\u6d4b\u5b9a\u8840\u6d46\u6e17\u900f\u538b\uff61 (\u8bc1\u636e\u7b49\u7ea7:4\uff1b\u63a8\u8350\u5f3a\u5ea6:C)<\/p>\n<p>(2)\u4f4e\u94a0\u8840\u75c7\u4f34\u968f\u9ad8\u86cb\u767d\u8840\u75c7\uff64\u9ad8\u8102\u8840\u75c7\u9700\u8003\u8651\u5047\u6027\u4f4e\u94a0\u8840\u75c7\u53ef\u80fd\uff61 (\u8bc1\u636e\u7b49\u7ea7:4\uff1b\u63a8\u8350\u5f3a\u5ea6:C)<\/p>\n<p>(3)\u4f4e\u94a0\u8840\u75c7\u4f34\u968f\u9ad8\u6e17\u900f\u6027\u6eb6\u8d28\u5e94\u7528\u53f2\u9700\u8003\u8651\u7b49\u6e17\u6027\u6216\u9ad8\u6e17\u6027\u4f4e\u94a0\u8840\u75c7\u53ef\u80fd\uff61 ( \u8bc1\u636e\u7b49\u7ea7:4\uff1b\u63a8\u8350\u5f3a\u5ea6:C)<\/p>\n<p>(4)\u4f4e\u6e17\u6027\u4f4e\u94a0\u8840\u75c7\u53ef\u5206\u4e3a\u9ad8\u5bb9\u91cf\u6027\uff64\u7b49\u5bb9\u91cf\u6027\u548c\u4f4e\u5bb9\u91cf\u6027\uff0c\u5efa\u8bae\u8fdb\u4e00\u6b65\u8bc4\u4f30\u5bb9\u91cf\u72b6\u6001\uff61 ( \u8bc1\u636e\u7b49\u7ea7:4\uff1b\u63a8\u8350\u5f3a\u5ea6:C)\u4eba\u4f53\u7684\u8840\u6d46\u6e17\u900f\u538b\u4e3b\u8981\u7531\u4ee5\u4e0b\u5404\u56e0\u7d20\u534f\u540c\u8c03\u8282\uff1a<\/p>\n<ul>\n<li>\n<p>\u6e34\u89c9\u4e2d\u67a2<\/p>\n<\/li>\n<li>\n<p>\u6297\u5229\u5c3f\u6fc0\u7d20(arginine vasopressin\uff0c AVP)<\/p>\n<\/li>\n<li>\n<p>\u919b\u56fa\u916e<\/p>\n<\/li>\n<li>\u5fc3\u623f\u94a0\u5c3f\u80bd(atrial natriuretic peptide\uff0c ANP)\uff61<\/li>\n<\/ul>\n<p>\u9996\u5148\u6309\u7167\u6e17\u900f\u538b\u5206\u7c7b\u5bfb\u627e\u75c5\u56e0<\/p>\n<p>\u56e0\u6b64\uff0c\u6309\u7167\u8840\u6d46\u6e17\u900f\u538b\u8c03\u8282\u7684\u75c5\u7406\u751f\u7406\u8fc7\u7a0b\uff0c\u4f4e\u94a0\u8840\u75c7\u7684\u75c5\u56e0\u53ef\u4ece\u4ee5\u4e0b\u65b9\u9762\u8003\u8651\uff1a<\/p>\n<ul>\n<li>\n<p>\u5047\u6027\u4f4e\u94a0\u8840\u75c7\uff1a\u8840\u6db2\u4e2d\u7684\u86cb\u767d\u8d28\uff64\u8102\u8d28\u589e\u591a\u65f6\u53ef\u80fd\u5f71\u54cd\u94a0\u79bb\u5b50\u6d53\u5ea6\u6d4b\u5b9a\uff0c\u9020\u6210\u8840\u94a0\u6d4b\u5b9a\u503c\u5047\u6027\u964d\u4f4e\uff61 \u4f4e\u94a0\u8840\u75c7\u4f34\u968f\u9ad8\u86cb\u767d\u8840\u75c7\uff64\u9ad8\u8102\u8840\u75c7\u9700\u8003\u8651\u5047\u6027\u4f4e\u94a0\u8840\u75c7\u53ef\u80fd\uff61<\/p>\n<\/li>\n<li>\n<p>\u6e17\u900f\u538b\u8c03\u5b9a\u70b9\u91cd\u7f6e\uff1a\u6e17\u900f\u538b\u8c03\u5b9a\u70b9\u504f\u79bb\u6b63\u5e38\u503c\u65f6\uff0c\u5982\u5728\u598a\u5a20\u671f\u95f4\uff0c\u7531\u4e8e\u8840\u6d46\u5bb9\u91cf\u589e\u52a0\u53ef\u964d\u4f4e\u6e17\u900f\u538b\u8c03\u5b9a\u70b9\uff0c\u4f7f\u8840\u94a0\u6d53\u5ea6\u4e0b\u964d4 ~ 5mmol\/ L<\/p>\n<\/li>\n<li>\n<p>\u7b49\u6e17\u6027\u4f4e\u94a0\u8840\u75c7\uff64\u9ad8\u6e17\u6027\u4f4e\u94a0\u8840\u75c7\uff1a\u8461\u8404\u7cd6\uff64\u7518\u9732\u9187\uff64\u7518\u6c28\u9178\uff64\u7518\u6cb9\uff64\u653e\u5c04\u9020\u5f71\u5242\u7b49\u9ad8\u6e17\u900f\u6027\u6eb6\u8d28\u4f7f\u5f97\u7ec6\u80de\u5185\u6db2\u8fdb\u5165\u7ec6\u80de\u5916\u6db2\uff0c\u7a00\u91ca\u7ec6\u80de\u5916\u6db2\uff0c\u5bfc\u81f4\u7b49\u6e17\u6027\u548c\u9ad8\u6e17\u6027\u4f4e\u94a0\u8840\u75c7\u3002<\/p>\n<\/li>\n<li>\u4f4e\u6e17\u6027\u4f4e\u94a0\u8840\u75c7\uff1a\u7531\u4e8e\u94a0\u79bb\u5b50\u662f\u5f62\u6210\u8840\u6d46\u6e17\u900f\u538b\u7684\u91cd\u8981\u6210\u5206\uff0c\u6545\u591a\u6570\u60c5\u51b5\u4e0b\uff0c\u4f4e\u94a0\u8840\u75c7\u8868\u73b0\u4e3a\u8840\u6d46\u6e17\u900f\u538b\u964d\u4f4e\u3002<\/li>\n<\/ul>\n<p>\u8fdb\u4e00\u6b65\u6309\u7167\u7ec6\u80de\u5916\u6db2\u4f53\u5bb9\u91cf\u5206\u7c7b\u5bfb\u627e\u75c5\u56e0<\/p>\n<p>\u4f4e\u6e17\u6027\u4f4e\u94a0\u8840\u75c7\u662f\u4f4e\u94a0\u8840\u75c7\u6700\u5e38\u89c1\u7684\u75c5\u56e0\uff0c\u4f9d\u636e\u7ec6\u80de\u5916\u6db2\u5bb9\u91cf\u53ef\u8fdb\u4e00\u6b65\u5206\u4e3a\uff1a<\/p>\n<ul>\n<li>\n<p>\u9ad8\u5bb9\u91cf\u6027\uff1a\u9ad8\u5bb9\u91cf\u6027\u4f4e\u94a0\u8840\u75c7\u5e38\u89c1\u4e8e\u5fc3\uff64\u809d\uff64\u80be\u529f\u80fd\u969c\u788d\u7684\u60a3\u8005\uff61\u5fc3\u529b\u8870\u7aed\u60a3\u8005\u5fc3\u8f93\u51fa\u91cf\u964d\u4f4e\uff0c\u5bfc\u81f4\u6709\u6548\u8840\u5bb9\u91cf\u964d\u4f4e\uff64\u4ea4\u611f\u795e\u7ecf\u7cfb\u7edf\u6d3b\u5316\uff64AVP \u5206\u6ccc\u589e\u52a0\uff64\u80be\u704c\u6ce8\u4e0d\u8db3\uff0c\u81ea\u7531\u6c34\u6e05\u9664\u7387\u964d\u4f4e\uff0c\u53ef\u5bfc\u81f4\u9ad8\u5bb9\u91cf\u6027\u4f4e\u94a0\u8840\u75c7\uff61 \u5bf9\u5fc3\u8870\u60a3\u8005\u8fdb\u884c\u9650\u76d0\u53ca\u5229\u5c3f\u6cbb\u7597\u4e5f\u4f1a\u52a0\u91cd\u4f4e\u94a0\u8840\u75c7\uff61\u809d\u529f\u80fd\u8870\u7aed\u60a3\u8005\u5e38\u4f34\u968f\u4f4e\u767d\u86cb\u767d\u8840\u75c7\uff64\u5185\u810f\u8840\u7ba1\u6269\u5f20\uff64\u52a8\u9759\u8109\u5206\u6d41\uff0c\u53ef\u5f15\u8d77\u8179\u6c34\u5f62\u6210\uff64\u6709\u6548\u8840\u5bb9\u91cf\u964d\u4f4e\uff61 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SIAD)\u662f\u6700\u5e38\u89c1\u7684\u75c5\u56e0\uff61\u5176\u4e3b\u8981\u8868\u73b0\u4e3a\u4f53\u5185\u6c34\u5206\u6f74\u7559\uff64\u7a00\u91ca\u6027\u4f4e\u8840\u94a0\u4ee5\u53ca\u5c3f\u94a0\u548c\u5c3f\u6e17\u900f\u538b\u5347\u9ad8\uff0c\u53ef\u5206\u4e3a\u7531AVP \u5206\u6ccc\u5f02\u5e38\u589e\u591a\u5f15\u8d77\u7684\u6297\u5229\u5c3f\u6fc0\u7d20\u4e0d\u9002\u5f53\u5206\u6ccc\u7efc\u5408\u5f81(syndromeof inappropriate antidiuretic hormone\uff0c SIADH)\u6216\u7531AVP\u53d7\u4f53V2 \u7a81\u53d8\u5f15\u8d77\u7684\u80be\u6027\u4e0d\u9002\u5f53\u6297\u5229\u5c3f\u7efc\u5408\u5f81( nephrogenic syndrome of inappropriate antidiuresis\uff0cNSIAD)\u3002\u6076\u6027\u80bf\u7624\u5f02\u4f4d\u5206\u6cccAVP \u6216\u7c7bAVP 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\u6db2\u4f53\u4ece\u8840\u7ba1\u6e17\u6f0f\u5230\u7b2c\u4e09\u95f4\u9699\uff0c\u6709\u6548\u5faa\u73af\u8840\u5bb9\u91cf\u964d\u4f4e\uff0cAVP\u91ca\u653e\uff0c\u5bfc\u81f4\u4f4e\u5bb9\u91cf\u6027\u4f4e\u94a0\u8840\u75c7\uff61<\/li>\n<\/ul>\n<p>\u3010CK\u6ce8\uff1a\u4f4e\u94a0\u8840\u75c7\u7684\u75c5\u56e0\u3011\u4f4e\u94a0\u8840\u75c7\u7684\u75c5\u56e0\u540c\u6837\u548c\u524d\u8ff0\u7684\u5206\u7c7b\u76f8\u5173\u3002\u524d\u8ff0\u5728\u4f4e\u94a0\u8840\u75c7\u5206\u7c7b\u4e2d\u5df2\u7ecf\u5bf9\u5206\u7c7b\u548c\u75c5\u56e0\u95f4\u7684\u5173\u7cfb\u8fdb\u884c\u4e86\u7b80\u8981\u6ce8\u91ca\uff0c\u53ef\u53c2\u9605\u76f8\u5173\u5185\u5bb9\uff08\u94fe\u63a5\uff1a\u6307\u5357\u5171\u8bc6 l 2023\u4f4e\u94a0\u8840\u75c7\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\uff1a\u4f4e\u94a0\u8840\u75c7\u5206\u7c7b\uff08CK\u7cbe\u8981\u6ce8\u91ca\u7248\u672c\uff09\uff09\uff0c\u4ee5\u53ca\u56feS4\u3001\u56feS5\u548c\u56feS7\u6b64\u5904\u4e0d\u4f5c\u8fc7\u591a\u8bf4\u660e\u3002\u56feS4&nbsp;\u6839\u636e\u5f20\u529b\uff08tonicity\uff09\u5c06\u4f4e\u94a0\u8840\u75c7\u5206\u7c7b<\/p>\n<p>\u4e0d\u9002\u5f53\u6297\u5229\u5c3f\u7efc\u5408\u5f81(SIAD)\u662f\u4f4e\u6e17\u6027\u4f4e\u94a0\u8840\u75c7\u6700\u5e38\u89c1\u7684\u75c5\u56e0\u3002<\/p>\n<p>Indian J Endocrinol Metab. 2014;18(6):760-771<\/p>\n<p>EJE. 2014;170(3):G1-G47\u56feS5&nbsp;\u4e0d\u540c\u8840\u6e17\u900f\u538b\u4f4e\u94a0\u8840\u75c7\u7684\u75c5\u56e0<\/p>\n<p>\u56feS7&nbsp;\u4f4e\u6e17\u6027\u4f4e\u94a0\u8840\u75c7\u7684\u5bb9\u91cf\u5206\u7c7b\u3001\u6f5c\u5728\u75c5\u56e0\u548c\u75c5\u7406\u751f\u7406<\/p>\n<\/p>\n<p>\u4f4e\u5f20\u4f4e\u94a0\u8840\u75c7\u662f\u4e00\u79cd\u6c34\u7a33\u6001\u969c\u788d\uff0c\u7531\u6c34\u6f74\u7559\u5f15\u8d77\u3002\u5728\u5927\u591a\u6570\u60c5\u51b5\u4e0b\uff0c\u6c34\u5206\u6f74\u7559\u53cd\u6620\u4e86\u6c34\u5206\u5229\u5c3f\u51cf\u5c11\u3002\u5728\u4f4e\u8840\u5bb9\u91cf\u969c\u788d\u548c\u67d0\u4e9b\u9ad8\u8840\u5bb9\u91cf\u5b9e\u4f53\uff08\u5fc3\u529b\u8870\u7aed\u3001\u809d\u786c\u5316\u6216\u80be\u75c5\u7efc\u5408\u5f81\uff09\u7684\u60a3\u8005\u4e2d\uff0c\u7531\u4e8e\u6709\u6548\u52a8\u8109\u8840\u5bb9\u91cf\u51cf\u5c11\uff0c\u4ece\u800c\u5bf9\u8840\u7ba1\u52a0\u538b\u7d20\u7684\u91ca\u653e\u63d0\u4f9b\u975e\u6e17\u900f\u6027\u523a\u6fc0\uff0c\u4ece\u800c\u5bfc\u81f4\u6c34\u5229\u5c3f\u51cf\u5c11\u3002\u5728\u6025\u6027\u80be\u635f\u4f24\u548c\u6162\u6027\u80be\u810f\u75be\u75c5\u7684\u9ad8\u8840\u5bb9\u91cf\u75be\u75c5\u60a3\u8005\u4e2d\uff0c\u80be\u5c0f\u7403\u6ee4\u8fc7\u7387\u964d\u4f4e\uff0c\u518d\u52a0\u4e0a\u65e0\u6cd5\u5b9e\u73b0\u5c3f\u6e17\u900f\u538b\u4f4e\u4e8e200 mOsm\/kg-250mOsm\/kg\uff0c\u9650\u5236\u4e86\u6c34\u7684\u5229\u5c3f\u3002\u5728\u5177\u6709\u4e0d\u9002\u5f53\u6297\u5229\u5c3f\u7efc\u5408\u5f81\uff08\u4e00\u79cd\u6b63\u5bb9\u91cf\u6027\u75be\u75c5\uff09\u7684\u60a3\u8005\u4e2d\uff0c\u5229\u5c3f\u51cf\u5c11\u662f\u7531\u4e8e\u8840\u7ba1\u52a0\u538b\u7d20\u6c34\u5e73\u4e0d\u9002\u5f53\u5347\u9ad8\uff08\u5373\u4f7f\u7f3a\u4e4f\u6e17\u900f\u6216\u8840\u6d41\u52a8\u529b\u5b66\u523a\u6fc0\uff09\u6240\u81f4\u3002\u6b63\u5e38\u8840\u5bb9\u91cf\u4f4e\u94a0\u8840\u75c7\u60a3\u8005\u6444\u5165\u8fc7\u591a\u7684\u6c34\u4f1a\u8d85\u51fa\u6b63\u5e38\u7684\u6c34\u5229\u5c3f\uff0c\u5bfc\u81f4\u6c34\u6f74\u7559\u3002\u5404\u79cd\u5f62\u5f0f\u7684\u4f4e\u6e17\u4f4e\u94a0\u8840\u75c7\u7684\u53d1\u751f\u9700\u8981\u6444\u5165\u7684\u6c34\u8d85\u8fc7\u80be\u810f\u548c\u5176\u4ed6\u9014\u5f84\u7684\u5931\u6c34\u3002\u6709\u5173\u8fdb\u4e00\u6b65\u7684\u75c5\u56e0\uff0c\u5728\u540e\u968f\u6307\u5357\u8fdb\u884c\u89e3\u8bfb\u3002<\/p>\n<p>\u9700\u8981\u8fdb\u4e00\u6b65\u89e3\u91ca\u7684\u662f\u56feS7\u4e2d\u5173\u4e8e\u4f4e\u6e17\u6027\u4f4e\u94a0\u8840\u75c7\u5728\u4f4e\u8840\u5bb9\u91cf\u548c\u6b63\u5e38\u8840\u5bb9\u91cf\u4f4e\u65f6\u7684\u8fdb\u4e00\u6b65\u75c5\u56e0\u5224\u65ad\uff0c\u8fd9\u53ef\u4ee5\u53c2\u89c1\u8868S1\u3002\u9700\u8981\u6ce8\u610f\uff0c\u75c5\u53f2\u5e94\u8bc4\u4f30\u60a3\u8005\u662f\u5426\u60a3\u6709\u6025\u6027\u6216\u6162\u6027\u75be\u75c5\u3001\u836f\u7269\u4f7f\u7528\u3001\u9152\u7cbe\u548c\u975e\u6cd5\u836f\u7269\u6ee5\u7528\u4ee5\u53ca\u6700\u8fd1\u7684\u624b\u672f\u3002\u5e94\u5411\u60a3\u8005\u8be2\u95ee\u6db2\u4f53\u6444\u5165\u548c\u6d41\u5931\u3001\u4f53\u91cd\u53d8\u5316\u4ee5\u53ca\u8fc7\u53bb\u7684\u4f4e\u94a0\u8840\u75c7\u53d1\u751f\u60c5\u51b5\u3002\u4f53\u683c\u68c0\u67e5\u6709\u52a9\u4e8e\u5bf9\u4f4e\u8840\u5bb9\u91cf\u3001\u6b63\u5e38\u8840\u5bb9\u91cf\u6216\u9ad8\u8840\u5bb9\u91cf\u4f4e\u94a0\u8840\u75c7\u8fdb\u884c\u5206\u7c7b\u3002\u4f46\u8981\u8ba4\u8bc6\u5230\u4f53\u683c\u68c0\u67e5\u5728\u8bca\u65ad\u4f4e\u8840\u5bb9\u91cf\u6027\u4f4e\u94a0\u8840\u75c7(\u4ee5\u76d0\u6c34\u8f93\u6ce8\u53cd\u5e94\u4f5c\u4e3a\u53c2\u8003\u6807\u51c6)\u65b9\u9762\u7684\u654f\u611f\u6027(50%-70%)\u548c\u7279\u5f02\u6027(30%-50%)\u8f83\u4f4e\u3010Nephrol Dial Transplant. 2014;29(suppl 2):i1-i39\uff1bAm J Med. 1987;83(5):905-908\u3011\u3002\u56e0\u6b64\uff0c\u6b27\u6d32\u6307\u5357\u5efa\u8bae\u5728\u8bc4\u4f30\u7ec6\u80de\u5916\u6db2\u5bb9\u79ef\u4e4b\u524d\uff0c\u5e94\u68c0\u6d4b\u5c3f\u6db2\u6e17\u900f\u538b\u548c\u5c3f\u6db2\u4e2d\u7684\u94a0\u6c34\u5e73\u3010Nephrol Dial Transplant. 2014;29(suppl 2):i1-i39\u3011\uff08\u89c1\u540e\uff09\u3002<\/p>\n<p>\u8868S1&nbsp;\u4f4e\u6e17\u6027\u4f4e\u94a0\u8840\u75c7\u7684\u75c5\u56e0<\/p>\n<h5>\u6c34\u5229\u5c3f\u51cf\u5c11\uff08\u6c34\u6392\u51fa\u51cf\u5c11\/\u6392\u6c34\uff1c\u6392\u94a0\uff09<\/h5>\n<h5>\u4f4e\u8840\u5bb9\u91cf\u6027\u4f4e\u94a0\u8840\u75c7<\/h5>\n<ul>\n<li>\n<p>\u80be\u94a0\u4e22\u5931<\/p>\n<\/li>\n<\/ul>\n<p>o \u5229\u5c3f\u5242o \u6e17\u900f\u6027\u5229\u5c3f(\u8461\u8404\u7cd6\u3001\u5c3f\u7d20\u3001\u7518\u9732\u9187)o \u8017\u76d0\u6027\u80be\u75c5o \u80be\u4e0a\u817a\u529f\u80fd\u4e0d\u5168o \u78b3\u9178\u6c22\u76d0\u8840\u75c7(\u80be\u5c0f\u7ba1\u6027\u9178\u4e2d\u6bd2\uff0c\u5455\u5410\u4e0d\u5e73\u8861\u671f)o \u916e\u5c3fo \u8111\u8017\u76d0\u7efc\u5408\u5f81<\/p>\n<ul>\n<li>\n<p>\u975e\u80be\u6027\u94a0\u635f\u5931<\/p>\n<\/li>\n<\/ul>\n<p>o \u5455\u5410o \u8179\u6cfbo \u5931\u8840o \u51fa\u6c57\u8fc7\u591ao \u7b2c\u4e09\u7a7a\u95f4\u7684\u6d41\u4f53\u6ede\u7559&nbsp; &nbsp; &nbsp;\u00a7 \u80f0\u817a\u708e&nbsp; &nbsp; &nbsp;\u00a7 \u80a0\u6897\u963b&nbsp; &nbsp; &nbsp;\u00a7 \u8179\u819c\u708e&nbsp; &nbsp; &nbsp;\u00a7 \u70e7\u4f24&nbsp; &nbsp; &nbsp;\u00a7 \u4e25\u91cd\u5916\u4f24<\/p>\n<h5>\u9ad8\u5bb9\u91cf\u4f4e\u94a0\u8840\u75c7<\/h5>\n<ul>\n<li>\n<p>\u5fc3\u8870<\/p>\n<\/li>\n<li>\n<p>\u809d\u786c\u5316<\/p>\n<\/li>\n<li>\n<p>\u80be\u75c5\u7efc\u5408\u5f81<\/p>\n<\/li>\n<li>\n<p>\u80be\u8870\u7aed(\u6025\u6027\u6216\u6162\u6027)<\/p>\n<\/li>\n<li>\n<p>\u598a\u5a20<\/p>\n<\/li>\n<\/ul>\n<h5>\u6b63\u5e38\u8840\u5bb9\u91cf\u6027\u4f4e\u94a0\u8840\u75c7<\/h5>\n<ul>\n<li>\n<p>\u567b\u55ea\u7c7b\u5229\u5c3f\u5242(\u67d0\u4e9b\u75c5\u4f8b)<\/p>\n<\/li>\n<li>\n<p>\u4e25\u91cd\u7532\u72b6\u817a\u529f\u80fd\u51cf\u9000<\/p>\n<\/li>\n<li>\n<p>\u7cd6\u76ae\u8d28\u6fc0\u7d20\u7f3a\u4e4f<\/p>\n<\/li>\n<li>\n<p>\u4f4e\u6eb6\u8d28\u6444\u5165<\/p>\n<\/li>\n<\/ul>\n<p>o \u8336\u548c\u70e4\u9762\u5305\u996e\u98dfo \u5564\u9152\u5927\u91cf\u6444\u5165\/ Beer potomaniao \u7a00\u91ca\u5a74\u513f\u914d\u65b9\u5976\u7c89<\/p>\n<ul>\n<li>\n<p>\u6297\u5229\u5c3f\u4e0d\u5f53\u7efc\u5408\u5f81\uff08\u5185\u5206\u6ccc\u91cd\u70b9\uff0c\u75c5\u56e0\u89c1\u540e\uff0c\u8868S2\uff09<\/p>\n<\/li>\n<\/ul>\n<h5>\u8fc7\u91cf\u6444\u5165\u6c34<\/h5>\n<ul>\n<li>\n<p>\u539f\u53d1\u6027\u70e6\u6e34<\/p>\n<\/li>\n<li>\n<p>\u591a\u79cd\u81ea\u6765\u6c34\u704c\u80a0\u5242<\/p>\n<\/li>\n<li>\n<p>\u6de1\u6c34\u6df9\u6eba\uff08\u6de1\u6c34\u6e56\u3001\u6cb3\uff09<\/p>\n<\/li>\n<li>\n<p>\u7a00\u91ca\u5a74\u513f\u914d\u65b9\u5976\u7c89<\/p>\n<\/li>\n<li>\n<p>\u8fd0\u52a8\u76f8\u5173<\/p>\n<\/li>\n<li>\n<p>\u65e0\u94a0\u51b2\u6d17\u6db2(\u5bab\u8154\u955c\u3001\u8179\u8154\u955c\u3001\u7ecf\u5c3f\u9053\u524d\u5217\u817a\u5207\u9664\u672f)<\/p>\n<\/li>\n<\/ul>\n<p>N Engl J Med. 2000;342(21):1581\u20101589<\/p>\n<p>\u63a8\u8fdb\u4f4e\u6e17\u6027\u4f4e\u94a0\u8840\u75c7\u7684\u75c5\u56e0\u8bca\u65ad\u53ef\u53c2\u8003\u56feS10\uff0c\u8fd9\u662f\u57fa\u4e8e\u53d1\u75c5\u673a\u7406\u7684\u8bca\u65ad\u65b9\u6cd5\u3002<\/p>\n<p>\u56feS10&nbsp;\u4f4e\u6e17\u4f4e\u94a0\u8840\u75c7\u7684\u4e34\u5e8a\u6cbb\u7597\u65b9\u6cd5<\/p>\n<\/p>\n<p>\u4e34\u5e8a\u75c5\u53f2\u548c\u4f53\u68c0\u4e3a\u4f4e\u94a0\u8840\u75c7\u7684\u8bca\u65ad\u63d0\u4f9b\u4e86\u5fc5\u8981\u4fe1\u606f\uff0c\u5e76\u5141\u8bb8\u5bf9\u4f4e\u8840\u5bb9\u91cf\u4f4e\u94a0\u8840\u75c7\u3001\u6b63\u5e38\u8840\u5bb9\u91cf\u4f4e\u94a0\u8840\u75c7\u6216\u9ad8\u8840\u5bb9\u91cf\u4f4e\u94a0\u8840\u75c7\u60a3\u8005\u8fdb\u884c\u5206\u7c7b\u3002\u5fc5\u987b\u6392\u9664\u9ad8\u8840\u7cd6\u548c\u5176\u4ed6\u975e\u4f4e\u6e17\u4f4e\u94a0\u8840\u75c7\u7684\u539f\u56e0\uff0c\u4ee5\u786e\u8ba4\u4f4e\u6e17\u4f4e\u94a0\u8840\u75c7\u3002\u5c3f\u94a0\u6c34\u5e73\u7684\u68c0\u6d4b\u548c\u5c3f\u6e17\u900f\u538b\u6216\u5c3f\u6bd4\u91cd\u7684\u4f7f\u7528\u8fdb\u4e00\u6b65\u533a\u5206\u4e86\u6bcf\u4e2a\u7ec6\u80de\u5916\u6db2\u5bb9\u91cf\u7684\u7c7b\u522b\u3002\u6700\u521d\u7684\u5b9e\u9a8c\u5ba4\u68c0\u67e5\u548c\u5f71\u50cf\u5b66\u7814\u7a76\uff0c\u7ed3\u5408\u75c5\u53f2\u548c\u4f53\u68c0\uff0c\u901a\u5e38\u8db3\u4ee5\u5f97\u51fa\u4f4e\u94a0\u8840\u75c7\u7684\u539f\u56e0\u3002<\/p>\n<p>\u53e6\u5916\u6ce8\u610f\uff0c\u5c3f\u94a0\u6d53\u5ea6\u548c\u5c3f\u6e17\u900f\u538b\u5bf9\u4e8e\u75c5\u56e0\u7684\u5224\u65ad\u4e5f\u5f88\u91cd\u8981\u3002\u8fd9\u4e00\u70b9\u5728\u6307\u5357\u540e\u9762\u5173\u4e8e\u8bca\u65ad\u6d41\u7a0b\u7b49\u5185\u5bb9\u4e2d\u6709\u6240\u4f53\u73b0\u3002\u5176\u4ed6\u8bf8\u5982\u5c3f\u6e17\u900f\u538b\u3001\u5c3f\u9178\u6392\u6cc4\u5206\u6570\u3001Copeptin\u7b49\u5747\u53ef\u80fd\u6709\u52a9\u4e8e\u660e\u786e\u75c5\u56e0\u3002\u4f46\u67d0\u4e9b\u60a3\u8005\u6216\u533b\u7597\u673a\u6784\u65e0\u6cd5\u83b7\u5f97\u8fd9\u4e9b\u6307\u6807\u3002\u8fd9\u91cc\u8865\u5145\u8bf4\u660e\u3002\u9700\u8981\u77e5\u6653\uff0c\u5c3f\u6db2\u6307\u6807\u8fd8\u53ef\u80fd\u53d7\u5230\u94a0\u6444\u5165\u3001\u76f8\u5173\u75be\u75c5(\u80be\u75c5\u3001\u5fc3\u8870)\u548c\u5229\u5c3f\u5242\u4f7f\u7528\u7684\u5f71\u54cd\u3002\u6ca1\u6709\u7814\u7a76\u5bf9\u8fd9\u4e24\u79cd\u65b9\u6cd5\u8fdb\u884c\u6bd4\u8f83(\u4ece\u8bc4\u4f30\u5bb9\u91cf\u72b6\u6001\u4e0e\u68c0\u6d4b\u5c3f\u6e17\u900f\u538b\u548c\u5c3f\u4e2d\u94a0\u6c34\u5e73\u5f00\u59cb)\uff0c\u4f46\u8bb8\u591a\u4e13\u5bb6\u652f\u6301\u5bf9\u7ec6\u80de\u5916\u6db2\u5bb9\u91cf\u8fdb\u884c\u521d\u6b65\u8bc4\u4f30\u3010Am J Kidney Dis. 2014; 64(5):681-684\uff1bHyponatremia. Accessed March 7, 2022\uff1bJ Am Soc Nephrol. 2012;23(7):1140-1148\uff1bAm J Med. 2013;126(10)(suppl 1):S1-S42\u3011\u3002<\/p>\n<p>\u5c3f\u94a0\u6d53\u5ea6\u548c\u5c3f\u6e17\u900f\u538b<\/p>\n<p>\u5c3f\u94a0\u6d53\u5ea6(UNa)\u53cd\u6620\u80be\u76d0\u76ae\u8d28\u6fc0\u7d20\u6d3b\u6027\uff0c\u56e0\u6b64\u95f4\u63a5\u53cd\u6620\u6709\u6548\u5faa\u73af\u91cf(J Am Soc Nephrol. 2017;28(5):1340-1349)\u3002\u5728\u6ca1\u6709\u4f7f\u7528\u5229\u5c3f\u5242\u7684\u60c5\u51b5\u4e0b\uff0cUNa &lt; 20 mmol\/L\u610f\u5473\u7740\u919b\u56fa\u916e\u4fc3\u8fdb\u80be\u94a0\u91cd\u5438\u6536\u7684\u4f5c\u7528\u3002\u8fd9\u8868\u660e\u5b58\u5728\u4f4e\u8840\u5bb9\u91cf\u6027\u4f4e\u94a0\u8840\u75c7\u4f34\u80be\u5916\u6eb6\u8d28\u4e22\u5931\u6216\u9ad8\u5bb9\u91cf\u6027\u4f4e\u94a0\u8840\u75c7\u4f34\u7ee7\u53d1\u6027\u919b\u56fa\u916e\u589e\u591a\u75c7\u3002\u5c3f\u94a0\u6d53\u5ea6\u5347\u9ad8(UNa &gt; 30 mmol\/L)\u8868\u660e\u4f7f\u7528\u4e86\u5229\u5c3f\u5242\u3001\u6216\u6b63\u5e38\u8840\u5bb9\u91cf\u6027\u4f4e\u94a0\u8840\u75c7\u3001\u6216\u4f4e\u8840\u5bb9\u91cf\u6027\u4f34\u80be\u6eb6\u8d28\u4e22\u5931(\u56feS10)\u3002\u8fd8\u5e94\u6ce8\u610f\uff0c\u6eb6\u8d28\u6444\u5165\u91cf\u4f4e\u7684\u60a3\u8005\uff0c\u5c3d\u7ba1\u8840\u5bb9\u91cf\u6b63\u5e38\uff0c\u5176UNa\u53ef\u80fd\u4e5f\u4f4e\u3002<\/p>\n<p>\u8868S10&nbsp;\u5229\u7528\u5c3f\u94a0\u6d53\u5ea6\u548c\u4e34\u5e8a\u5bb9\u91cf\u8bc4\u4f30\u4f4e\u94a0\u8840\u75c7\u7684\u75c5\u56e0<\/p>\n<p>\u7f29\u5199:UNa\uff0c\u5c3f\u94a0\u6d53\u5ea6\uff1bUOsm,\u5c3f\u6e17\u900f\u538b\u3002<\/p>\n<h3>Clin Endocrinol (Oxf). 2000;52(6):667-678<\/h3>\n<p>\u5c3f\u6bd4\u91cd\u548c\u5c3f\u6e17\u900f\u538b\u7684\u5927\u81f4\u5173\u7cfb(\u56feS10)\uff1a<\/p>\n<ul>\n<li>\n<p>100 mOsm\/kg\u7684\u5c3f\u6db2\u6e17\u900f\u538b\u63a5\u8fd11.003\u7684\u5c3f\u6db2\u6bd4\u91cd\uff1b<\/p>\n<\/li>\n<li>\n<p>300 mOsm\/kg\u63a5\u8fd1\u5c3f\u6db2\u6bd4\u91cd1.010\uff1b<\/p>\n<\/li>\n<li>500 mOsm\/kg\u63a5\u8fd11.020\u7684\u5c3f\u6bd4\u91cd\u3002<\/li>\n<\/ul>\n<h3>\u5c3f\u9178\u6392\u6cc4\u5206\u6570<\/h3>\n<p>\u5c3f\u9178\u6392\u6cc4\u5206\u6570(FEUA\/ Fractional excretion of uric acid)\u53ef\u7528\u4e8e\u63a5\u53d7\u5229\u5c3f\u5242\u6cbb\u7597\u7684\u60a3\u8005\uff0c\u5176\u4e2dUNa\u53ef\u80fd\u96be\u4ee5\u89e3\u91ca\u3002Fenske\u7b49\u62a5\u544a\uff0c\u5728\u672a\u63a5\u53d7\u5229\u5c3f\u5242\u6cbb\u7597\u7684\u60a3\u8005\u4e2d\uff0cUNa\u548cFEUA\u5728\u8bc6\u522bSIAD\u65b9\u9762\u8868\u73b0\u76f8\u540c\uff1b\u7136\u800c\uff0c\u5728\u5229\u5c3f\u5242\u7684\u4f7f\u7528\u65b9\u9762\uff0cFEUA\u662f\u5219\u4f18\u4e8eUNa(J Clin Endocrinol Metab. 2008;93(8):2991-2997.)\u3002\u540c\u4e00\u7814\u7a76\u62a5\u544a\u79f0\uff0cFEUA &gt; 12%\u5bf9SIAD\u7684\u9633\u6027\u9884\u6d4b\u503c\u4e3a100%\uff0c\u76f8\u53cd\uff0cFEUA &lt; 8%\u5bf9SIAD\u7684\u9634\u6027\u9884\u6d4b\u503c\u4e3a100%\u3002<\/p>\n<h3><\/h3>\n<h3>\u5171\u80bd\uff08Copeptin\uff09\u4e0eAVP\u68c0\u6d4b<\/h3>\n<p>AVP\u6765\u81ea\u8840\u7ba1\u52a0\u538b\u7d20\u539f\uff08provasopressin\uff09\uff0c\u8be5\u6fc0\u7d20\u539f\u5728\u5782\u4f53\u540e\u53f6\u7684\u795e\u7ecf\u5206\u6ccc\u9897\u7c92\u4e2d\u88ab\u9176\u4fc3\u88c2\u89e3\u4ee5\u4ea7\u751fAVP\u3001\u5171\u80bd\uff08copeptin\uff09\u548c\u540e\u53f6\u6fc0\u7d20\u8f6c\u8fd0\u86cb\u767d\uff08neurophysin\uff09\u3002\u8840\u6d46AVP\u6d53\u5ea6\u6d4b\u5b9a\u5728\u4f4e\u94a0\u8840\u75c7\u9274\u522b\u8bca\u65ad\u4e2d\u6ca1\u6709\u4f5c\u7528\u3002\u4f4e\u94a0\u8840\u75c7\u7684\u6240\u6709\u75c5\u56e0\u5747\u663e\u793a\u8840\u6d46AVP\u6d53\u5ea6\u5347\u9ad8\uff0c\u4e14\u68c0\u6d4b\u7ed3\u679c\u9700\u8981\u5f88\u957f\u65f6\u95f4\u624d\u80fd\u83b7\u5f97\uff0c\u800c\u4e0d\u80fd\u4f53\u73b0\u4e34\u5e8a\u8bca\u65ad\u4ef7\u503c\u3002<\/p>\n<p>\u7531\u4e8e\u5171\u80bd\u4e0eAVP\u5171\u5206\u6ccc\uff0c\u56e0\u6b64\u5efa\u8bae\u5c06\u5176\u4f5c\u4e3a\u8840\u6d46AVP\u6d53\u5ea6\u7684\u66ff\u4ee3\u751f\u7269\u6807\u5fd7\u7269(Clin Chem. 2006;52(1):112-119.)\uff0c\u5e76\u5df2\u663e\u793a\u4e3a\u5728\u6e17\u900f\u8c03\u8282\u7814\u7a76\u671f\u95f4\u8bca\u65ad\u591a\u5c3f-\u591a\u996e\u72b6\u6001\u7684\u6709\u7528\u66ff\u4ee3\u6807\u5fd7\u7269\u3002\u7136\u800c\uff0c\u5728\u4f4e\u94a0\u8840\u75c7\u7684\u8bca\u65ad\u8bc4\u4f30\u4e2d\u4f7f\u7528\u5171\u80bd\u7684\u60c5\u51b5\u6709\u9650(Clin Endocrinol (Oxf). 2019;91(1):22-32; Nat Rev Endocrinol. 2016;12(3):168-176);\u4e0eAVP\u4e00\u6837\uff0c\u5728\u6240\u6709\u5176\u4ed6\u5f62\u5f0f\u7684\u4f4e\u94a0\u8840\u75c7\u4e2d\uff0c\u5171\u80bd\u7684\u6d53\u5ea6\u5b58\u5728\u663e\u8457\u91cd\u53e0(J Clin Endocrinol Metab. 2009;94(1):123-129; Rev Endocr Metab Disord. 2019;20(3):283-294)\u3002<\/p>\n<p>\u5176\u4ed6\u6709\u5e2e\u52a9\u7684\u68c0\u67e5<\/p>\n<p>\u653e\u5c04\u5b66\u6210\u50cf\u53ef\u5305\u62ec\u80f8\u90e8X\u5149\u7247\u6216CT\u4ee5\u53ca\u5934\u90e8MRI\u6216CT\uff0c\u4ee5\u8bc4\u4f30\u5fc3\u8870\u3001\u80bf\u5757\u75c5\u53d8\u548c\u8111\u6c34\u80bf\u7b49\u60c5\u51b5\u3002\u7136\u800c\uff0c\u5728SIAD\u8bc4\u4f30\u4e2d\uff0c\u6ca1\u6709\u9ad8\u8d28\u91cf\u8bc1\u636e\u652f\u6301\u5e38\u89c4\u6210\u50cf\uff0c\u4f46\u5728\u65e0\u6cd5\u83b7\u5f97SIAD\u75c5\u56e0\u662f\uff0c\u56fd\u5185\u7684\u4e00\u4e2a\u4e60\u60ef\u662f\u5168\u8eabPET-CT\u626b\u63cf\u4ee5\u6392\u9664\u4e25\u91cd\u75be\u75c5\u3002\u75c5\u53f2\u3001\u4f53\u683c\u68c0\u67e5\u548c\u521d\u59cb\u5b9e\u9a8c\u5ba4\u68c0\u67e5\u7684\u4fe1\u606f\u901a\u5e38\u8db3\u4ee5\u8bca\u65ad\u4f4e\u94a0\u8840\u75c7\u7684\u539f\u56e0(\u8868S1)\u3010N Engl J Med. 2000;342(21):1581\u20101589\u3011\u3002\u53ef\u80fd\u5b58\u57281\u79cd\u4ee5\u4e0a\u75c5\u56e0\u3002<\/p>\n<p>\u4f34\u5229\u5c3f\u5242\u4f7f\u7528\u7684\u8bca\u65ad\u56f0\u96be<\/p>\n<p>\u5229\u5c3f\u5242\u5e26\u6765\u7684\u8bca\u65ad\u56f0\u96be\u662f\uff0c\u670d\u7528\u8fd9\u4e9b\u836f\u7269\u7684\u60a3\u8005\u7ec6\u80de\u5916\u548c\u5faa\u73af\u5bb9\u91cf\u53ef\u80fd\u589e\u52a0\u3001\u6b63\u5e38\u6216\u51cf\u5c11\uff0c\u5c3f\u94a0\u6d53\u5ea6\u53ef\u80fd\u589e\u52a0\u6216\u51cf\u5c11\uff0c\u8fd9\u53d6\u51b3\u4e8e\u6700\u8fd1\u7528\u836f\u836f\u7269\uff0c\u800c\u4e0e\u6f5c\u5728\u5bb9\u91cf\u72b6\u6001\u65e0\u5173\u3002\u5229\u5c3f\u5242\u5f15\u8d77\u7684\u94a0\u6392\u6cc4\u53ef\u80fd\u5bfc\u81f4\u201c\u9002\u5f53\u7684\u201d\u52a0\u538b\u7d20\u91ca\u653e\uff0c\u968f\u540e\u7531\u4e8e\u5faa\u73af\u5bb9\u91cf\u51cf\u5c11\u800c\u5bfc\u81f4\u4f4e\u94a0\u8840\u75c7\u3002\u6700\u540e\uff0c\u5229\u5c3f\u5242\u53ef\u80fd\u5bfc\u81f4SIAD\u6837\u72b6\u6001\uff0c\u5176\u7279\u5f81\u662f\u7ec6\u80de\u5916\u6db2\u5bb9\u79ef\u6b63\u5e38\u6216\u8f7b\u5ea6\u589e\u52a0\u3002<\/p>\n<p>\u5fc3\u529b\u8870\u7aed\u6216\u809d\u786c\u5316\u60a3\u8005\u7684\u5c3f\u94a0\u6d53\u5ea6\u4e5f\u53ef\u80fd\u8f83\u4f4e\uff0c\u56e0\u4e3a\u6709\u6548\u5faa\u73af\u52a8\u8109\u5bb9\u79ef\u51cf\u5c11\uff0c\u5373\u4f7f\u60a3\u8005\u6b63\u5728\u670d\u7528\u5229\u5c3f\u5242(\u5229\u5c3f\u5242\u62b5\u6297)\u3002<\/p>\n<p>\u5982\u679c\u60a3\u8005\u670d\u7528\u5229\u5c3f\u5242\uff0c\u5efa\u8bae\u8c28\u614e\u89e3\u8bfb\u5c3f\u94a0\u6d53\u5ea6&gt;30\u200ammol\/l\u7684\u60c5\u51b5\u3002\u5728\u4f7f\u7528\u5229\u5c3f\u5242\u7684\u60a3\u8005\u4e2d\u533a\u5206\u6709\u6548\u5faa\u73af\u91cf\u51cf\u5c11\u4e0eSIAD\u4f4e\u94a0\u8840\u75c7\u7684\u6f5c\u5728\u539f\u56e0\u65f6\uff0c\u5c3f\u9178\u6392\u6cc4\u5206\u6570&lt; 12%\u53ef\u80fd\u4f18\u4e8e\u5c3f\u94a0\u6d53\u5ea6\uff0c\u4f46\u8fd9\u4e00\u8bba\u65ad\u9700\u8981\u8fdb\u4e00\u6b65\u8bc1\u5b9e\u3002\u9700\u8981\u627f\u8ba4\uff0c\u83b7\u5f97\u8ba1\u7b97\u5c3f\u9178\u6392\u6cc4\u5206\u6570\u7684\u5fc5\u8981\u6d4b\u91cf\u503c\u4e5f\u662f\u56f0\u96be\u7684\uff08\u8ba1\u7b97\u65b9\u6cd5\u89c1\u4e0a\u56fe\uff09\u3002\u7531\u4e8e\u8fd9\u4e9b\u539f\u56e0\uff0c\u6ca1\u6709\u5efa\u8bae\u5728\u4e34\u5e8a\u5b9e\u8df5\u4e2d\u8fdb\u884c\u5e38\u89c4\u8ba1\u7b97\u3002<\/p>\n<p>\u53d6\u800c\u4ee3\u4e4b\u5e94\u91c7\u53d6\u4e86\u66f4\u52a1\u5b9e\u7684\u65b9\u6cd5\u3002\u9996\u5148\uff0c\u5efa\u8bae\u5728\u670d\u7528\u5229\u5c3f\u5242\u7684\u60a3\u8005\u4e2d\uff0c\u5229\u5c3f\u5242\u88ab\u8ba4\u4e3a\u662f\u5bfc\u81f4\u4f4e\u94a0\u8840\u75c7\u7684\u4e00\u4e2a\u56e0\u7d20\u3002\u8bf7\u8bb0\u4f4f\uff0c\u60a3\u8005\u53ef\u80fd\u4e0d\u77e5\u9053\u4ed6\u4eec\u6b63\u5728\u670d\u7528\u5229\u5c3f\u5242\uff0c\u6216\u8005\u5176\u5229\u5c3f\u5242\u4f7f\u7528\u53ef\u80fd\u6ca1\u6709\u8bb0\u5f55\u3002<\/p>\n<p>\u5c3d\u7ba1\u6240\u6709\u7c7b\u578b\u7684\u5229\u5c3f\u5242\u90fd\u4e0e\u4f4e\u94a0\u8840\u75c7\u6709\u5173\uff0c\u567b\u55ea\u7c7b\u5229\u5c3f\u5242\u662f\u6700\u5e38\u89c1\u7684\u539f\u56e0\u3002\u4fdd\u94be\u5229\u5c3f\u5242\uff0c\u5982\u76d0\u76ae\u8d28\u6fc0\u7d20\u53d7\u4f53\u963b\u6ede\u5242\u548c\u963f\u7c73\u6d1b\u5229\u4e5f\u53ef\u80fd\u5bfc\u81f4\u4f4e\u94a0\u8840\u75c7\u3002\u88a2\u5229\u5c3f\u5242\u53d1\u751f\u9891\u7387\u8f83\u4f4e\uff0c\u56e0\u4e3a\u5176\u5e72\u6270\u80be\u6d53\u7f29\u673a\u5236\u3002\u91cd\u8981\u7684\u662f\uff0c\u5229\u5c3f\u5242\u4f7f\u7528\u5e76\u4e0d\u80fd\u6392\u9664\u4f4e\u94a0\u8840\u75c7\u7684\u5176\u4ed6\u539f\u56e0\uff0c\u7279\u522b\u662f\u5982\u679c\u5229\u5c3f\u5242\u505c\u6b62\u540e\u4f4e\u94a0\u8840\u75c7\u6301\u7eed\u5b58\u5728(\u672a\u7f13\u89e3\u7684\u4f4e\u94a0\u8840\u75c7)\u3002<\/p>\n<p>\u6709\u5173\u4f4e\u94a0\u8840\u75c7\u75c5\u56e0\u5206\u5e03\u7684\u7814\u7a76<\/p>\n<ul>\n<li>\n<p>\u4f4e\u94a0\u8840\u75c7\u767b\u8bb0\u9879\u76ee\uff0c\u7531\u6765\u81ea\u7f8e\u56fd\u548c\u6b27\u76df225\u4e2a\u7814\u7a76\u70b9\u76843087\u4f8b\u65e0\u4f4e\u8840\u5bb9\u91cf\u7684\u4f4e\u94a0\u8840\u75c7\u60a3\u8005\u7ec4\u6210\uff0c\u62a5\u544a\u4e86\u9ad8\u5bb9\u91cf\u4f4e\u94a0\u8840\u75c7\u60a3\u8005(\u5fc3\u887051%\uff0c\u809d\u786c\u531642%)\u548c\u6b63\u5e38\u8840\u5bb9\u91cf\u4f4e\u94a0\u8840\u75c7\u60a3\u8005(95%\u4e3aSIAD)\u7684\u53d1\u751f\u5927\u81f4\u5bf9\u7b49\u3010Kidney Int. 2015;88(1): 167-177.\u3011\u3002<\/p>\n<\/li>\n<li>\n<p>\u6297\u6291\u90c1\u836f\u662fSIAD\u60a3\u8005\u6700\u5e38\u89c1\u4f7f\u7528\u7684\u836f\u7269\u3002\u9009\u62e9\u60275-\u7f9f\u8272\u80fa\u518d\u6444\u53d6\u6291\u5236\u5242\u53ef\u5728\u9ad8\u8fbe32%\u7684\u60a3\u8005\u4e2d\u8bf1\u53d1SIAD\uff0c\u5c24\u5176\u662f\u5728\u5e74\u9f84\u8f83\u5927(\u5e74\u9f84&gt; 65\u5c81)\u3001\u4f53\u91cd\u4e0d\u8db3\u7684\u5973\u6027\u4e2d\u3010Front Horm Res. 2019;52:167-177\u3011\u3002<\/p>\n<\/li>\n<li>\n<p>\u567b\u55ea\u7c7b\u836f\u7269\u53ef\u5bfc\u81f430%\u7684\u60a3\u8005\u51fa\u73b0\u4f4e\u94a0\u8840\u75c7\u3002\u98ce\u9669\u56e0\u7d20\u5305\u62ec\u9ad8\u9f84\u3001\u5973\u6027\u3001\u4f4e\u4f53\u91cd\u6307\u6570\u3001\u4f4e\u94a0\u6444\u5165\u4ee5\u53ca\u540c\u65f6\u4f7f\u7528\u6297\u6291\u90c1\u836f\u7269\u6216\u6297\u7cbe\u795e\u75c5\u836f\u7269\u3002<\/p>\n<\/li>\n<li>\n<p>\u4f4e\u94a0\u8840\u75c7\u901a\u5e38\u5728\u8d77\u59cb\u567b\u55ea\u7c7b\u836f\u7269\u6cbb\u7597\u540e\u4e0d\u4e45\u53d1\u751f\uff0c\u4f46\u4e5f\u53ef\u80fd\u5728\u957f\u671f\u4f7f\u7528\u567b\u55ea\u7c7b\u836f\u7269\u540e\u6216\u5e76\u53d1\u75be\u75c5\u671f\u95f4\u53d1\u751f\u3010Front Horm Res. 2019; 52:93-103\u3011\u3002<\/p>\n<\/li>\n<li>\n<p>\u6162\u6027\u5e94\u7528\u53bb\u6c28\u52a0\u538b\u7d20(\u4e00\u79cd\u8840\u7ba1\u52a0\u538b\u7d20\u7c7b\u4f3c\u7269)\u6cbb\u7597\u4e2d\u67a2\u6027\u5c3f\u5d29\u75c7\u3001\u9057\u5c3f\u6216\u8840\u7ba1\u6027\u5047\u8840\u53cb\u75c5\u7b49\u75be\u75c5\u53ef\u5bfc\u81f4\u4f4e\u94a0\u8840\u75c7\uff0c\u5076\u5c14\u4e5f\u4f1a\u5bfc\u81f4\u4e25\u91cd\u7684\u4f4e\u94a0\u8840\u75c7\u3002\u5728\u4f4e\u94a0\u8840\u75c7\u6cbb\u7597\u671f\u95f4\u505c\u7528\u53bb\u6c28\u52a0\u538b\u7d20\u53ef\u5bfc\u81f4\u5feb\u901f\u6c34\u5229\u5c3f\u3001\u8840\u6e05\u94a0\u6c34\u5e73\u8fc7\u5feb\u7ea0\u6b63\u548c\u6e17\u900f\u6027\u8131\u9ad3\u9798\u3010Nephrol Dial Transplant. 2014;29(12):2310-2315.\u3011\u3002<\/p>\n<\/li>\n<li>\n<p>\u8f7b\u5ea6\u3001\u77ed\u6682\u548c\u5927\u90e8\u5206\u65e0\u75c7\u72b6\u7684\u8fd0\u52a8\u76f8\u5173\u4f4e\u94a0\u8840\u75c7\u5e38\u89c1\u4e8e\u9ad8\u8fbe67%\u7684\u957f\u8dd1\u8fd0\u52a8\u5458\uff0c\u4f46\u6709\u75c7\u72b6\u7684\u4f4e\u94a0\u8840\u75c7\u7f55\u89c1\uff0c\u53d1\u751f\u7387\u4f4e\u4e8e1%\u3010Front Horm Res. 2019;52:178-189\u3011\u3002<\/p>\n<\/li>\n<li>\u5728\u4e00\u9879\u5305\u62ec590\u540d\u539f\u53d1\u6027\u70e6\u6e34\u4f34\u4f4e\u94a0\u8840\u75c7\u60a3\u8005\u7684\u7814\u7a76\u4e2d\uff0c52%\u6709\u7cbe\u795e\u75be\u75c5\uff0c15%\u6709\u4fc3\u8fdb\u8fc7\u5ea6\u996e\u6c34\u7684\u533b\u5b66\u75be\u75c5\uff0c31%\u65e0\u5408\u5e76\u75c7\u3010BMJ Open. 2021;11(12):e046539\u3011\u3002<\/li>\n<\/ul>\n<p>\u5185\u5206\u6ccc\u817a\u4f53\u529f\u80fd\u51cf\u9000\u6240\u81f4\u4f4e\u94a0<\/p>\n<p>\u5185\u5206\u6ccc\u817a\u4f53\u75c5\u56e0\u6240\u5bfc\u81f4\u4f4e\u94a0\u4e3b\u8981\u4e3a\u539f\u53d1\u6027\u548c\u7ee7\u53d1\u6027\u80be\u4e0a\u817a\u529f\u80fd\u4e0d\u5168\uff0c\u4ee5\u53ca\u7532\u72b6\u817a\u529f\u80fd\u51cf\u9000\u3002<\/p>\n<p>\u7ee7\u53d1\u6027\u80be\u4e0a\u817a\u529f\u80fd\u4e0d\u5168\u7684\u919b\u56fa\u916e\u7684\u751f\u6210\u53d7\u635f\u6bd4\u539f\u53d1\u6027\u80be\u4e0a\u817a\u529f\u80fd\u4e0d\u5168\u8981\u8f7b\uff0c\u5176\u539f\u7406\u901a\u5e38\u5e76\u975e\u80be\u94a0\u6d41\u5931\u5bfc\u81f4\u4f4e\u94a0\u8840\u75c7\u3002\u7ee7\u53d1\u6027\u80be\u4e0a\u817a\u529f\u80fd\u4e0d\u5168\u662f\u7531\u4fc3\u80be\u4e0a\u817a\u76ae\u8d28\u6fc0\u7d20\u5206\u6ccc\u51cf\u5c11\u6216\u7f3a\u4e4f\u5f15\u8d77\u7684\uff0c\u7531\u6b64\u5bfc\u81f4\u76ae\u8d28\u9187\u51cf\u5c11\u3002\u6b63\u5e38\u60c5\u51b5\u4e0b\uff0c\u76ae\u8d28\u9187\u6291\u5236\u4e0b\u4e18\u8111CRH\u548c\u52a0\u538b\u7d20\u7684\u4ea7\u751f\u3002\u9700\u8981\u6ce8\u610f\u7684\u662f\uff0c\u5728\u7ee7\u53d1\u6027\u80be\u4e0a\u817a\u529f\u80fd\u4e0d\u5168\u4e2d\uff0c\u6301\u7eed\u4f4e\u6d53\u5ea6\u7684\u76ae\u8d28\u9187\u4e0d\u80fd\u6291\u5236\u52a0\u538b\u7d20\uff0c\u4f4e\u94a0\u8840\u75c7\u662f\u7531\u81ea\u7531\u6c34\u6392\u6cc4\u53d7\u635f\u5f15\u8d77\u7684\uff0c\u5176\u4f4e\u94a0\u7684\u539f\u7406\u7c7b\u4f3cSIAD\uff0c\u56e0\u6b64\u5176\u53ef\u80fd\u4f1a\u7b26\u5408\u7edd\u5927\u90e8\u5206SIAD\u7684\u8bca\u65ad\u6807\u51c6\uff0c\u56e0\u6b64\u5728SIAD\u8bca\u65ad\u524d\u9700\u9664\u5916\u3002<\/p>\n<p>\u7532\u72b6\u817a\u529f\u80fd\u51cf\u9000\u5c3d\u7ba1\u5305\u62ec\u5728\u8bb8\u591a\u8bca\u65ad\u6d41\u7a0b\u4e2d\uff0c\u4f46\u6b64\u7c7b\u75c5\u56e0\u5f15\u8d77\u4f4e\u94a0\u8840\u75c7\u7684\u60c5\u51b5\u975e\u5e38\u7f55\u89c1\u30022006\u5e74\uff0c\u6709\u62a5\u9053\uff0c\u5e73\u5747\u6bcf\u5347\u9ad810\u200amU\/L\u4fc3\u7532\u72b6\u817a\u6fc0\u7d20\uff0c\u8840\u6e05\u94a0\u6d53\u5ea6\u4ec5\u4ec5\u964d\u4f4e0.14mmol\/L\uff0c\u8fd9\u8868\u660e\u53ea\u6709\u4e34\u5e8a\u8868\u73b0\u4e3a\u7532\u72b6\u817a\u529f\u80fd\u51cf\u9000\u7684\u4e25\u91cd\u75c5\u4f8b\u624d\u4f1a\u5bfc\u81f4\u6709\u4e34\u5e8a\u610f\u4e49\u7684\u4f4e\u94a0\u8840\u75c7\u3002\u4f4e\u94a0\u8840\u75c7\u7684\u53d1\u751f\u53ef\u80fd\u4e0e\u7c98\u6db2\u6c34\u80bf\u6709\u5173\uff0c\u7c98\u6db2\u6c34\u80bf\u4e3b\u8981\u7531\u5fc3\u8f93\u51fa\u91cf\u548c\u80be\u5c0f\u7403\u6ee4\u8fc7\u7387\u964d\u4f4e\u5f15\u8d77\u7684\u3002<\/p>\n<p>\u539f\u53d1\u6027\u80be\u4e0a\u817a\u529f\u80fd\u4e0d\u5168\u6240\u81f4\u4f4e\u94a0\uff0c\u5c5e\u4e8e\u4f4e\u8840\u5bb9\u91cf\u6027\u7684\u4f4e\u94a0\u8840\u75c7\uff0c\u5728\u5bb9\u91cf\u5224\u65ad\u65f6\u5373\u53ef\u5206\u7c7b\u3002\u5176\u539f\u7406\u662f\u4f4e\u919b\u56fa\u916e\u5bfc\u81f4\u80be\u94a0\u6d41\u5931\u3001\u7ec6\u80de\u5916\u6db2\u5bb9\u79ef\u6536\u7f29\u548c\u4f4e\u94a0\u8840\u75c7\u3002\u867d\u7136\u539f\u53d1\u6027\u80be\u4e0a\u817a\u529f\u80fd\u4e0d\u5168\u901a\u5e38\u4e0e\u5176\u4ed6\u4e34\u5e8a\u75c7\u72b6\u548c\u751f\u5316\u5f02\u5e38\u4e00\u8d77\u51fa\u73b0\uff0c\u4f46\u4f4e\u94a0\u8840\u75c7\u53ef\u80fd\u662f\u5176\u7b2c\u4e00\u4e2a\u4e5f\u662f\u552f\u4e00\u7684\u75c7\u72b6\u3002<\/p>\n<p>SIAD\u5728\u4f4e\u94a0\u8840\u75c7\u75c5\u56e0\u4e2d\u7684\u5360\u6bd4<\/p>\n<p>\u5728\u57fa\u4e8e\u4eba\u7fa4\u7684\u7814\u7a76\u4e2d\uff0cSIAD\u662f\u4f4e\u94a0\u8840\u75c7\u6700\u5e38\u89c1\u7684\u5f52\u56e0\u539f\u56e0\uff0c\u5360\u75c5\u4f8b\u768435%\u81f340%\u3002\u7136\u800c\uff0c\u5927\u591a\u6570\u786e\u5b9a\u4f4e\u94a0\u8840\u75c7\u75c5\u56e0\u7684\u56de\u987e\u6027\u7814\u7a76\u53d7\u5230\u4e0d\u5b8c\u6574\u8bca\u65ad\u68c0\u67e5\u7684\u9650\u5236\u3002\u524d\u8ff0\u591a\u4e2d\u5fc3\u767b\u8bb0\u53d1\u73b0\uff0c\u57283087\u4f8b\u4f4e\u94a0\u8840\u75c7\u60a3\u8005\u4e2d\uff0c\u53ea\u6709\u4e0d\u523050%\u8fdb\u884c\u4e86\u6240\u6709\u9002\u5f53\u7684\u68c0\u67e5\u3010Kidney Int. 2015;88(1):167-177\u3011\u3002<\/p>\n<ul>\n<li>\n<p>\u5728\u5fb7\u56fd\u7684\u4e00\u5bb6\u533b\u9662\u5bf9121\u4f8bpNa\u4f4e\u4e8e130 mmol\/L\u7684\u8fde\u7eed\u4f4f\u9662\u60a3\u8005\u8fdb\u884c\u4e86\u524d\u77bb\u6027\u7814\u7a76\uff0c\u7531\u4e00\u540d\u8d44\u6df1\u5185\u5206\u6ccc\u4e13\u79d1\u533b\u751f\u6839\u636e\u4e25\u683c\u7684\u8bca\u65ad\u65b9\u6848\u8fdb\u884c\u8bc4\u4f30\uff0c\u786e\u5b9a35%\u7684\u60a3\u8005\u60a3\u6709SIAD\uff0c32%\u7684\u60a3\u8005\u60a3\u6709\u4f4e\u8840\u5bb9\u91cf\u75c7\uff0c20%\u7684\u60a3\u8005\u60a3\u6709\u9ad8\u8840\u5bb9\u91cf\u75c7(\u5fc3\u529b\u8870\u7aed\u3001\u809d\u786c\u5316\u3001\u8840\u7ba1\u6027\u6c34\u80bf)\uff0c7%\u7684\u60a3\u8005\u60a3\u6709\u567b\u55ea\u7c7b\u836f\u7269\u5f15\u8d77\u7684\u4f4e\u94a0\u8840\u75c7\uff0c4%\u7684\u60a3\u8005\u60a3\u6709\u539f\u53d1\u6027\u591a\u996e\u75c7\uff0c2%\u7684\u60a3\u8005\u60a3\u6709\u80be\u4e0a\u817a\u529f\u80fd\u4e0d\u5168\u3010Am J Med. 2010;123(7):652-657\u3011\u3002<\/p>\n<\/li>\n<li>\n<p>\u5728\u7231\u5c14\u5170\u4e00\u5bb6\u4e09\u7ea7\u795e\u7ecf\u5916\u79d1\u8f6c\u8bca\u4e2d\u5fc3\u8fdb\u884c\u7684\u53e6\u4e00\u9879\u524d\u77bb\u6027\u7814\u7a76\u5bf91323\u4f8bpNa\u5c0f\u4e8e\u6216\u7b49\u4e8e130 mmol\/L\u7684\u5165\u9662\u60a3\u8005\u8fdb\u884c\u4e86\u521d\u6b65\u5206\u7c7b\uff0c\u5176\u4e2d573\u4f8b(43.4%)\u60a3\u8005\u4e3aSIAD\uff0c\u4f46\u5728\u5b8c\u6210\u8fdb\u4e00\u6b65\u8c03\u67e5\u540e\uff0c\u5176\u4e2d22\u4f8b(3.8%)\u968f\u540e\u88ab\u91cd\u65b0\u5206\u7c7b\u4e3a\u80be\u4e0a\u817a\u529f\u80fd\u4e0d\u5168\u3002<\/p>\n<\/li>\n<\/ul>\n<p>\u5bfc\u81f4SIAD\u7684\u75c5\u56e0SIAD\u6f5c\u5728\u539f\u56e0\u7684\u9891\u7387(\u56feS11\uff0c\u8868S2)\u5728\u4e0d\u540c\u7814\u7a76\u4e4b\u95f4\u6709\u5f88\u5927\u5dee\u5f02\u3002<\/p>\n<ul>\n<li>\n<p>\u75311524\u4f8bSIAD\u60a3\u8005\u7ec4\u6210\u7684\u56fd\u9645\u591a\u4e2d\u5fc3\u767b\u8bb0\u5904\u53d1\u73b0\uff0c\u75c5\u56e0\u672a\u660e\u536035.2%\uff0c\u6076\u6027\u80bf\u7624\u536023.6%\uff0c\u836f\u7269\u6027\u536017.8%\uff0c\u80ba\u90e8\u75be\u75c5\u536010.7%\uff0c\u4e2d\u67a2\u795e\u7ecf\u7cfb\u7edf(CNS)\u75c5\u7406\u5b66\u53608.5%\uff0c\u5176\u4ed6\u75c5\u56e0\u536014.1%\u3010Am J Med. 2016;129(5):537.e9-553.e23\u3011\u3002<\/p>\n<\/li>\n<li>\n<p>\u5728\u524d\u8ff0\u524d\u77bb\u6027\u5fb7\u56fd\u7814\u7a76\u4e2d\uff0c\u5728\u7b26\u5408SIAD\u6807\u51c6\u768442\u4f8b\u60a3\u8005\u4e2d\uff0c\u5f52\u56e0\u539f\u56e0\u4e3a\u764c\u75c748%\uff0c\u6025\u6027\u7ec6\u83cc\u611f\u67d319%\uff0c\u6076\u5fc3\u548c\u5455\u541018%\uff0c\u533b\u6e90\u6027(\u6765\u81eaAVP\u7c7b\u4f3c\u7269)4% (2\u4f8b\u60a3\u8005)\u3010Am J Med. 2010;123(7):652-657\u3011\u3002<\/p>\n<\/li>\n<li>\u5728\u524d\u77bb\u6027\u7231\u5c14\u5170\u7814\u7a76\u4e2d\uff0cCNS\u75c5\u7406\u5b66\u662f\u6700\u5e38\u89c1\u7684\u57fa\u7840\u75c5\u7406\u5b66\uff0c\u536026%(\u53ef\u80fd\u53cd\u6620\u4e86\u4f4d\u4e8e\u795e\u7ecf\u5916\u79d1\u4e13\u79d1\u4e2d\u5fc3)\uff0c\u5176\u6b21\u662f\u80ba\u90e8\u75be\u75c5\u536019%\uff0c\u6076\u6027\u80bf\u7624\u536018%\uff0c\u672f\u540e\u536010%\uff0c\u836f\u7269\u76f8\u5173\u53608%\uff0c\u8113\u6bd2\u75c7\u53605%\uff0c\u7279\u53d1\u6027\u6216\u6df7\u5408\u6027\u53604%\u3010CE. 2016;85(6):836-844\u3011\u3002<\/li>\n<\/ul>\n<p>\u503c\u5f97\u6ce8\u610f\u7684\u662f\uff0c\u5728\u8fd9\u4e9b\u7814\u7a76\u4e2d\uff0cSIAD\u7684\u75c5\u56e0\u662f\u7531\u5173\u8054\u800c\u975e\u56e0\u679c\u5173\u7cfb\u786e\u5b9a\u7684(\u901a\u8fc7\u8bc1\u660e\u7ea0\u6b63\u5047\u5b9a\u7684\u81f4\u75c5\u75be\u75c5\u53ef\u89e3\u51b3SIAD\uff0c\u8fd9\u4e00\u70b9\u5c06\u5f97\u5230\u52a0\u5f3a)\u3002\u8fd9\u4e9b\u7814\u7a76\u4e4b\u95f4\u7684\u4e0d\u540c\u53d1\u73b0\u8868\u660e\uff0c\u5173\u4e8eSIAD\u6f5c\u5728\u75c5\u56e0\u7684\u76f8\u5bf9\u60a3\u75c5\u7387\uff0c\u8fd8\u6709\u66f4\u591a\u9700\u8981\u4e86\u89e3\u7684\u5730\u65b9\u3002\u56feS11&nbsp;\u4e0d\u5f53\u6297\u5229\u5c3f\u6fc0\u7d20\u5206\u6ccc\u7efc\u5408\u5f81\u7684\u75c5\u56e0(SIAD)<\/p>\n<p>Spasovski 2014\u3010EJE. 2014;170(3):G1-G47\u3011\u3002<\/p>\n<p>\u8868S2&nbsp;\u6297\u5229\u5c3f\u4e0d\u5f53\u7efc\u5408\u5f81\u7684\u75c5\u56e0o&nbsp;\u6076\u6027\u80bf\u7624&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;\u00a7 \u80ba\u548c\u7eb5\u9694&nbsp; &nbsp; &nbsp;\u00a7 \u9f3b\u54bd\u90e8&nbsp; &nbsp; &nbsp;\u00a7 \u80c3\u80a0\u9053&nbsp; &nbsp; &nbsp;\u00a7 \u6ccc\u5c3f\u751f\u6b96\u9053o \u836f\u7269&nbsp; &nbsp; &nbsp;\u00a7 \u5408\u6210\u6216\u91ca\u653e\u7cbe\u6c28\u9178\u52a0\u538b\u7d20\u7684\u523a\u6fc0\u7269:\u5c3c\u53e4\u4e01\u3001\u4e09\u73af\u7c7b\u6297\u6291\u90c1\u836f\u3001\u5429\u567b\u55ea\u3001\u6297\u80bf\u7624\u836f(\u7532\u6c28\u8776\u5464\u3001\u5f02\u73af\u78f7\u9170\u80fa\u3001\u987a\u94c2\u3001\u5361\u94c2\u3001\u957f\u6625\u65b0\u78b1\u3001\u957f\u6625\u78b1\u3001\u5e72\u6270\u7d20)\u3001\u9ebb\u9189\u836f&nbsp; &nbsp; &nbsp;\u00a7 \u7cbe\u6c28\u9178\u52a0\u538b\u7d20\u6837\u5316\u5408\u7269\u53ca\u5176\u4f5c\u7528\u589e\u5f3a\u5242:\u53bb\u6c28\u52a0\u538b\u7d20\u3001\u50ac\u4ea7\u7d20\u3001\u524d\u5217\u817a\u7d20\u5408\u6210\u9176\u6291\u5236\u5242&nbsp; &nbsp; &nbsp;\u00a7 \u6df7\u5408\u4f5c\u7528\u6216\u672a\u77e5\u4f5c\u7528:\u73af\u78f7\u9170\u80fa\u3001\u6c2f\u4e19\u80fa\u3001\u8840\u7ba1\u7d27\u5f20\u7d20\u8f6c\u6362\u9176\u6291\u5236\u5242\u3001\u6c2f\u8d1d\u4e01\u916f\u3001\u6c2f\u6c2e\u5e73\u3001\u9009\u62e9\u60275-\u7f9f\u8272\u80fa\u518d\u6444\u53d6\u6291\u5236\u5242\u30013\uff0c4-\u4e9a\u7532\u4e8c\u6c27\u57fa\u7532\u57fa\u82ef\u4e19\u80fa(\u6447-\u5934-\u4e38)\u3001\u975e\u753e\u4f53\u6297\u708e\u836fo \u4e2d\u67a2\u795e\u7ecf\u7cfb\u7edf\u75be\u75c5&nbsp; &nbsp; &nbsp;\u00a7 \u5360\u4f4d\u75c5\u53d8:\u80bf\u7624\u3001\u8113\u80bf\u3001\u8840\u80bf&nbsp; &nbsp; &nbsp;\u00a7 \u708e\u6027\u75be\u75c5:\u8111\u708e\u3001\u8111\u819c\u708e\u3001\u72fc\u75ae&nbsp; &nbsp; &nbsp;\u00a7 \u8131\u9ad3\u9798\u75be\u75c5:\u683c\u6797-\u5df4\u5229\u7efc\u5408\u5f81&nbsp; &nbsp; &nbsp;\u00a7 \u8111\u8840\u7ba1\u610f\u5916&nbsp; &nbsp; &nbsp;\u00a7 \u9885\u8111\u5916\u4f24&nbsp; &nbsp; &nbsp;\u00a7 \u6025\u6027\u7cbe\u795e\u75c5&nbsp; &nbsp; &nbsp;\u00a7 \u9707\u98a4\u6027\u8c35\u5984o \u80ba\u90e8\u75be\u75c5&nbsp; &nbsp; &nbsp;\u00a7 \u611f\u67d3:\u7ec6\u83cc\u6027\u6216\u75c5\u6bd2\u6027\u80ba\u708e\u3001\u80ba\u8113\u80bf\u3001\u7ed3\u6838\u75c5\u3001\u66f2\u9709\u75c5&nbsp; &nbsp; &nbsp;\u00a7 \u54ee\u5598&nbsp; &nbsp; &nbsp;\u00a7 \u56ca\u6027\u7ea4\u7ef4\u5316&nbsp; &nbsp; &nbsp;\u00a7 \u6025\u6027\u547c\u5438\u8870\u7aed&nbsp; &nbsp;&nbsp;&nbsp;\u00a7 \u6162\u6027\u963b\u585e\u6027\u80ba\u75be\u75c5&nbsp; &nbsp;&nbsp;&nbsp;\u00a7 \u6b63\u538b\u901a\u6c14o \u5176\u4ed6\u7684&nbsp; &nbsp;&nbsp;&nbsp;\u00a7 \u8fd0\u52a8\u76f8\u5173&nbsp; &nbsp;&nbsp;&nbsp;\u00a7 \u75bc\u75db&nbsp; &nbsp;&nbsp;&nbsp;\u00a7 \u4e25\u91cd\u6076\u5fc3&nbsp; &nbsp;&nbsp;&nbsp;\u00a7 \u5168\u8eab\u9ebb\u9189&nbsp; &nbsp;&nbsp;&nbsp;\u00a7 \u672f\u540e\u72b6\u6001&nbsp; &nbsp;&nbsp;&nbsp;\u00a7 HIV\/\u827e\u6ecb\u75c5&nbsp; &nbsp;&nbsp;&nbsp;\u00a7 \u7cbe\u6c28\u9178\u52a0\u538b\u7d20\u53d7\u4f532\u57fa\u56e0\u7684\u529f\u80fd\u589e\u76ca\u53d8\u4f53\u9644\u5f55\uff1a2014\u7248\u6b27\u6d32\u6307\u5357SIADH\u7684\u539f\u56e0<\/p>\n<p>AIDS\uff1a\u83b7\u5f97\u6027\u514d\u75ab\u7f3a\u9677\u7efc\u5408\u75c7\uff1bMOAI\uff1a\u5355\u80fa\u6c27\u5316\u9176\u6291\u5236\u5242\uff1bMDMA\uff1a3\uff0c4-\u4e9a\u7532\u4e8c\u6c27\u57fa\u7532\u57fa\u82ef\u4e19\u80fa\uff1bNSAIDs\uff1a\u975e\u753e\u4f53\u6297\u708e\u836f\uff1bSSRIs\uff1a\u9009\u62e9\u6027\u8840\u6e05\u7d20\u518d\u6444\u53d6\u6291\u5236\u5242\u3002<\/p>\n<hr>\n<p>\u5185\u5206\u6ccc\u4ee3\u8c22\u75c5\u75be\u75c5 @CK\u533b\u5b66<\/p>\n<p>\u5185\u5206\u6ccc\u4ee3\u8c22\u75c5\u77e5\u8bc6\u67b6\u6784 @CK\u533b\u5b66<\/p>\n<p>\u5185\u5206\u6ccc\u4ee3\u8c22\u75c5\u5206\u7ea7\u8bca\u7597 @CK\u533b\u5b66<\/p>\n<p>CK\u6ce8\uff1a\u672c\u516c\u4f17\u53f7\u4e3a\u4ec0\u4e48\u91cd\u89c6\u6307\u5357\u6216\u5171\u8bc6\u7684\u63a8\u5e7f\uff1f<\/p>\n<p>\u6162\u6027\u75be\u75c5\u548c\u5e38\u89c1\u75c5\u4f1a\u6709\u5927\u91cf\u7684\u4e34\u5e8a\u7814\u7a76\u8bc1\u636e\uff0c\u4e34\u5e8a\u51b3\u7b56\u5e94\u5c3d\u91cf\u5229\u7528\u6709\u4ef7\u503c\u3001\u9ad8\u5f3a\u5ea6\u7684\u8bc1\u636e\u3002\u4e00\u4e2a\u597d\u7684\u6307\u5357\u6216\u8005\u5171\u8bc6\uff0c\u4f1a\u6309\u7167\u4e00\u5b9a\u7684\u6807\u51c6\u6c47\u805a\u8bc1\u636e\uff0c\u4f1a\u6709\u591a\u4e2a\u8be5\u9886\u57df\u5185\u7684\u4e13\u5bb6\u5171\u540c\u8ba8\u8bba\uff0c\u8fd9\u6837\u4f1a\u6781\u5927\u7684\u907f\u514d\u4e2a\u4eba\u7ecf\u9a8c\u4e2d\u7684\u504f\u89c1\uff0c\u5f97\u5230\u76f8\u5bf9\u5ba2\u89c2\u7684\u3001\u66f4\u6709\u5229\u4e8e\u60a3\u8005\u7684\u8bca\u6cbb\u65b9\u6848\u3002\u7ed3\u5408\u6307\u5357\u6216\u5171\u8bc6\u7684\u4e2a\u4eba\u8bca\u6cbb\u7ecf\u9a8c\u53ef\u80fd\u66f4\u6709\u6548\u3002\u5bf9\u4e8e\u5c11\u89c1\u75c5\u548c\u7f55\u89c1\u75c5\uff0c\u5171\u8bc6\u7684\u5730\u4f4d\u66f4\u52a0\u7a81\u51fa\u3002\u8fd9\u4e9b\u75be\u75c5\u60a3\u8005\u5728\u8bca\u6cbb\u65f6\u4f1a\u6709\u81ea\u53d1\u7684\u7c07\u96c6\u6548\u5e94\uff0c\u5c24\u5176\u5728\u76ee\u524d\u4fe1\u606f\u4f20\u9012\u548c\u641c\u7d22\u90fd\u975e\u5e38\u4fbf\u6377\u7684\u60c5\u51b5\u4e0b\u66f4\u662f\u5982\u6b64\u3002\u5177\u6709\u7279\u5b9a\u7f55\u89c1\u75c5\u8bca\u6cbb\u7ecf\u9a8c\u7684\u4e13\u5bb6\u5e76\u4e0d\u591a\uff0c\u5e76\u4e14\u9700\u8981\u8017\u8d39\u5de8\u5927\u7684\u7ecf\u5386\u5927\u91cf\u641c\u7d22\u6587\u732e\u4ee5\u6307\u5bfc\u8bca\u6cbb\uff0c\u56e0\u6b64\u7f55\u89c1\u75c5\u76f8\u5173\u5171\u8bc6\u5bf9\u4e8e\u4e34\u5e8a\u53ef\u9047\u800c\u4e0d\u53ef\u6c42\u7684\u67d0\u4e9b\u573a\u666f\u66f4\u4e3a\u5f25\u8db3\u73cd\u8d35\u3002 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