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病例9-2017:一名出现恶心、呕吐、意识错乱和低钠血症的27岁女性
Case 9-2017 — A 27-Year-Old Woman with Nausea, Vomiting, Confusion, and Hyponatremia


Amulya Nagarur ... 其他 • 2017.03.23

病历陈述


Meaghan E. Colling医师(内科):一名27岁女性因恶心、呕吐、意识错乱和低钠血症被收入本院。

患者一直身体健康,直至入院前1周出现恶心,以及无血液、无胆汁的呕吐。患者并未就医,其症状在数小时后消退。入院前2日,在食用海鲜后,患者于晚间出现恶心,以及数次无血液、无胆汁的呕吐。入院前1日,患者反复发生食物引起的呕吐,但能大量饮水。当日早些时候,她与朋友正常互动,并参加了长途步行等观光活动。傍晚,人们注意到她有轻微意识错乱。后来,她的朋友难以将她从睡眠中唤醒,且她无法听从指令及行走。她被两名旅伴送上汽车,并被带到另一家医院的急诊科进行评估。





作者信息

Amulya Nagarur, M.D., Lloyd Axelrod, M.D., and Anand S. Dighe, M.D.
From the Departments of Medicine (A.N., L.A.) and Pathology (A.S.D.), Massachusetts General Hospital, and the Departments of Medicine (A.N., L.A.) and Pathology (A.S.D.), Harvard Medical School — both in Boston.

 

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