[Marked effect of furosemide and hypertonic saline in the treatment of SIAD after head injury].
A case of SIADH after head injury was encountered and treated successfully with furosemide and hypertonic saline. 250 mg of furosemide was given twice at two hours' interval. The dose of 2.5% saline for the infusion was calculated according to the excretion of sodium in the urine collected during this period. The level of serum sodium quickly rose from 113 mEq/l to 137 mEq/l in 33 hours. The consciousness of the patient returned to normal. The problems of quick correction of hyponatremia including the central pontine neurolysis were discussed.
D000328:Adult; D001932:Brain Neoplasms / Q000150:complications*; D003131:Combined Modality Therapy; D005665:Furosemide / Q000627:therapeutic use*; D006801:Humans; D007010:Hyponatremia / Q000628:therapy; D007177:Inappropriate ADH Syndrome / Q000209:etiology / Q000628:therapy*; D008297:Male; D012462:Saline Solution, Hypertonic; D012887:Skull Fractures / Q000150:complications; D012965:Sodium Chloride / Q000627:therapeutic use*
D012462:Saline Solution, Hypertonic; D012965:Sodium Chloride; D005665:Furosemide