| 张金冉,李洁,钟丽萍,张道龙.适应障碍继发低钠血症的访谈与治疗[J].四川精神卫生杂志,2020,33(1):76-78.Zhang Jinran,Li Jie,Zhong Liping,Zhang Daolong,Interview and treatment of hyponatremia secondary to adaptive disorders[J].SICHUAN MENTAL HEALTH,2020,33(1):76-78 |
| 适应障碍继发低钠血症的访谈与治疗 |
| Interview and treatment of hyponatremia secondary to adaptive disorders |
| 投稿时间：2019-12-22 |
| DOI：10.11886/scjsws20191222001 |
| 中文关键词: 适应障碍 低钠血症 心理治疗 |
| 英文关键词:Adjustment disorder Hyponatremia Psychotherapy |
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| 中文摘要: |
| 本文目的是通过报道病例诊疗过程，呈现适应障碍继发低钠血症的临床诊疗思路及治疗方案的制定。咨客是一位54岁已婚男性，因为管理企业压力大，生活没有规律、经常熬夜逐渐出现失眠，予以SSRIs类药物（百忧解、左洛复）治疗后出现肢体乏力、懒言少语、轻体力劳动以后就会感到疲乏，化验检查明确有低钠血症，经本次咨询，被诊断为适应障碍继发低钠血症。建议采用生物-心理-社会综合干预方法，鼓励咨客加强运动，口服NaSSA类抗抑郁药米氮平缓解焦虑、阻止水盐代谢，限制液体摄入量，心理治疗推荐正念减压治疗。 |
| 英文摘要: |
| The purpose of this article was to present the clinical diagnosis and the treatment ideas of adaptation disorders through reporting detail case study. The patient was a 54-year-old married men. He had a irregular life, often stayed up late and gradually appeared insomnia. He was prescribed with SSRIs medication (Prozac, Zoloft), but took medicine made him short-spoken, often felt tired after light physical labor. Then he was found to have hyponatremia by laboratory tests. After the consultation, he was diagnosed with hyponatremia secondary to adjustment disorder. Biological-psychological-social integrated intervention was recommended including emphasis on exercise, with the NaSSA antidepressant Mirtazapine taken orally to relieve anxiety. Meanwhile, a low-salt diet which could prevent water and salt metabolism was recommended. Psychotherapy recommendation was mindful stress reduction. |
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