CAJ | 학술논문

1例67岁男性脑梗死患者因合并抑郁状态给予帕罗西汀20 mg,1次/d口服.5d后患者出现乏力、情感淡漠、食欲减退.实验室检查:血钠128 mmol/L(服用帕罗西汀前为136 mmol/L).停用帕罗西汀,改服氟哌噻吨美利曲辛,并给予氯化钠口服.1周后血钠升至134 mmol/L,淡漠及乏力感减轻.1个月后复查,血钠142 mmol/L.
1례67세남성뇌경사환자인합병억욱상태급여파라서정20 mg,1차/d구복.5d후환자출현핍력、정감담막、식욕감퇴.실험실검사:혈납128 mmol/L(복용파라서정전위136 mmol/L).정용파라서정,개복불고새둔미리곡신,병급여록화납구복.1주후혈납승지134 mmol/L,담막급핍력감감경.1개월후복사,혈납142 mmol/L.
A 67-year-old male patient with cerebral infarction and depression received paroxetine 20 mg once daily.Five days later,the patient developed fatigue,apathy and loss of appetite.Laboratory test showed a serum sodium level of 128 mmol/L.His serum sodium level was 136 mmol/L before paroxetine therapy.Paroxetine was discontinued and changed to flupentixol and melitracen,and oral saline was administered.One week later,the level of serum sodium returned to 134 mmol/L and his clinical symptoms were improved.One month later,his serum sodium level was 142 mmol/L.