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GINMU >
03 紀要 >
031 Journal of Nara Medical Association >
Vol.52 No.6 >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/10564/689
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| Title: | うつ病性昏迷により高ナトリウム血症を呈した1例 |
| Other Titles: | A CASE OF HYPERNATREMIA CAUSED BY DEPRESSIVE STUPOR |
| Authors: | 坂井, 康純
法山, 良信
森川, 将行
金, 英浩
芳野, 浩樹
大澤, 弘吉
岸本, 年史
飯田, 順三 |
| Keywords: | depressive stupor
hypernatremia
antidepressant |
| Issue Date: | 31-Dec-2001 |
| Publisher: | 奈良医学会 |
| Citation: | Journal of Nara Medical Association Vol.52 No.6 p.261-265 |
| Abstract: | Hyponatremia is well known to be caused by water intoxication, but
there are few reports on hypernatremia induced by mental disorder. We report a rare
case of secondary hypernatremia caused by depressive stupor. The patient (a 57-year-
old female) refused to eat, drink or speak due to depressive stupor. As a result, she
suffered from hypohydremia with hypernatremia (serum sodium 157mEq/l, urea nitrogen
114mg/dl), and was admitted to our psychiatric ward. She was treated with infusion
(hypoosmosis) and antidepressants (mainly clomipramine). Her depressive stupor and
hypernatremia were gradually improved. Generally, hypernatremia results from water
depletion, disturbance of consciousness, or adipsia due to organic brain syndrome.
Furthermore, the possibility exists that mental disorder induces secondary hypernatre-
mia. In the case of a patient with hypernatremia, secondary influences induced by
mental disorder need to be considered. |
| URI: | http://hdl.handle.net/10564/689 |
| ISSN: | 13450069 |
| Appears in Collections: | Vol.52 No.6
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| 261-265p.うつ病性昏迷により高ナトリウム血症を呈した1例.pdf | | 580Kb | Adobe PDF | View/Open |
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