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以疲乏为主诉的肿瘤内分泌副综合征一例并文献复习
引用本文:高婧,任颖,曹勇,邵琦,赵催春,吕志前.以疲乏为主诉的肿瘤内分泌副综合征一例并文献复习[J].现代生物医学进展,2012,12(22):4264-4266.
作者姓名:高婧  任颖  曹勇  邵琦  赵催春  吕志前
作者单位:1. 上海交通大学附属上海市第六人民医院特需医疗科 上海市糖尿病临床医学中心 上海200233
2. 上海市第六人民医院心胸外科 上海200233
摘    要:目的:肿瘤内分泌副综合症是肿瘤病人需警惕的并发症,抗利尿激素分泌异常综合症是其较常见的一种,常无明显临床表现,容易忽视和漏诊,其与肿瘤发病率,死亡率相关.本文旨在探讨肿瘤内分泌副综合症的早期诊治以便有助于改善患者的生存质量及预后.方法:通过报道一例以疲乏为主诉的肿瘤副综合症并进行相关文献的回顾性复习与分析.结果:准确诊断内分泌副肿瘤综合症是临床医生必须高度重视的,对部分肿瘤内分泌副综合症为排除性诊断,需要完善的临床资料,不可轻易诊断.治疗以控制肿瘤为主结合控制引起综合症的内分泌原因.结论:肿瘤内分泌综合症需要受到临床医师重视,尽量减少漏诊误诊,完善资料准确诊断,积极治疗可改善预后.

关 键 词:肿瘤内分泌副综合症  抗利尿激素分泌异常综合症  病例报告

Case Rport:one Case of Endocrine Paraneoplastic Syndrome and Literature Review
GAO Jing,REN Ying,CAO Yong,SHAO Qi,ZHAO Cui-chun,LV Zhi-qian.Case Rport:one Case of Endocrine Paraneoplastic Syndrome and Literature Review[J].Progress in Modern Biomedicine,2012,12(22):4264-4266.
Authors:GAO Jing  REN Ying  CAO Yong  SHAO Qi  ZHAO Cui-chun  LV Zhi-qian
Institution:1 Department of General Medicine,Shanghai Clinical Center for Diabetes.the Sixth People’s Hospital Affiliated to Shanghai Jiaotong University,Shanghai 200233,China; 2 Cardio Thoracic Surgery.the Sixth People’s Hospital Affiliated to Shanghai Jiaotong University,Shanghai 200233,China)
Abstract:Objective:Endocrine paraneoplastic syndrome is one of the complications which tumor patient need to be on alert,antidiuretic hormone secretion abnormal syndrome is a common one,which often has no obvious clinical performance,of which diagnosis was easy to be ignored.But that is related to morbidity and mortality.Early detection and treatment of endocrine parane-oplastic syndrome can improve survival quality and prognosis.Methods:This article reports a case of endocrine paraneoplastic syndrome which chief complaint is weary and makes relative literature review.Results:How to find and accurate diagnosis endocrine paraneoplastic syndrome is one thing which needs to pay attention to.Some endocrine paraneoplastic syndromes need to perfect material to eliminate diagnosis.The treatment of syndromes is to control tumor and control the endocrine causes.Conclusion:Endocrine paraneoplastic syndrome needs to be pay attention to by clinical physicians,so as to reduce reducing misdiagnosis and error diagnosis,perfecting materials,accurate diagnosis and active treatment can improve the prognosis.
Keywords:Endocrime paraneoplastic syndrome  SIADH  Case report
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