Gutiérrez Cruz Oswaldo, Careaga Benítez Ricardo
Hospital Angeles del Pedregal, Colonia Heroes de Padema, DF México.
Ginecol Obstet Mex. 2007 Apr;75(4):224-9.
Diabetes insipidus is an uncommon pathology; its incidence varies from two to six cases in 100,000 pregnancies. It has multiple etiologies and it is classified in central and neurogenic. Patients with diabetes insipidus generally show intense thirst, polyuria, neurologic symptoms and hypernatremia. It does not seem to alter the patient's fertility. Diabetes insipidus is usually associated with pre-eclampsia, HELLP syndrome, and fatty liver disease of pregnancy. This is a report of a case seen at the Hospital General de Cholula, in Puebla, Mexico. A 19 year-old female, with 37.2 weeks of pregnancy, had a history of Langerhans cell histiocytosis since she was four years. Patient was treated with intranasal desmopressin until 2005. She went to an obstetric evaluation; laboratory and cabinet studies were obtained. A healthy 1900 g female was obtained through vaginal delivery, with a 7/9 Apgar score. We should be familiarized with this uncommon pathology because of its association with several obstetric emergencies.
尿崩症是一种罕见的病症；其发病率在每10万次妊娠中为2至6例。它有多种病因，可分为中枢性和神经源性。尿崩症患者通常表现出极度口渴、多尿、神经症状和高钠血症。它似乎不会影响患者的生育能力。尿崩症通常与子痫前期、HELLP综合征和妊娠脂肪肝有关。这是一份在墨西哥普埃布拉州乔卢拉综合医院所见病例的报告。一名19岁女性，怀孕37.2周，自4岁起就有朗格汉斯细胞组织细胞增多症病史。患者一直使用鼻内去氨加压素治疗至2005年。她接受了产科评估；进行了实验室和体格检查。通过阴道分娩产下一名健康的1900克女婴，阿氏评分7/9。由于其与多种产科急症相关，我们应该熟悉这种罕见病症。
