Campbell F E, Bredhauer B
Veterinary Teaching Hospital, University of Queensland, St Lucia, Queensland 4072.
Aust Vet J. 2005 Dec;83(12):732-5. doi: 10.1111/j.1751-0813.2005.tb11578.x.
A 1-year-old neutered male domestic shorthair cat presented with a 4-week history of polydipsia that began immediately after an 8 metre fall. Trauma-induced central diabetes insipidus was suspected on the basis of the identification of hyposthenuria, normal haematology and serum biochemistry profile and unremarkable abdominal ultrasound examination. Failure to concentrate urine with water deprivation followed by production of hypersthenuric urine with administration of the synthetic antidiuretic hormone, Deamino-8-D-arginine vasopressin (DDAVP), confirmed the diagnosis of central diabetes insipidus. Treatment via conjunctival administration of DDAVP failed to attenuate the polydipsia, however, resolution of polydipsia was achieved with subcutaneous administration of DDAVP and the cat remains eudipsic with twice daily subcutaneous DDAVP administration 17 months after diagnosis.
一只1岁已绝育的雄性家养短毛猫,出现多饮症状4周,该症状在其从8米高处坠落之后立即开始。根据低渗尿、正常血液学和血清生化指标以及腹部超声检查无异常,怀疑为创伤性中枢性尿崩症。禁水后不能浓缩尿液,随后给予合成抗利尿激素去氨-8-D-精氨酸加压素(DDAVP)后产生高渗尿,这证实了中枢性尿崩症的诊断。通过结膜给药DDAVP未能减轻多饮症状,然而,皮下注射DDAVP后多饮症状得到缓解,诊断17个月后,该猫每天皮下注射两次DDAVP,一直保持正常饮水。