Adonakis G, Kyriazopoulou V, Androutsopoulos G, Papadopoulos V, Decavalas G, Georgopoulos N A
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology, University of Patras, Medical School, Rion, Greece.
Clin Exp Obstet Gynecol. 2011;38(3):301-2.
We report a case of a woman with a preexisting diabetes insipidus (DI), who had two consecutive uncomplicated pregnancies. Both pregnancies resulted after spontaneous conception and had a similar uneventful course. At the time of conception the patient was receiving 1-desamino-8D-arginine-vasopressin (DDAVP) 30 microg/d which maintained a urinary volume of 2-3 l/day. Pre-existing DI can be handled carefully and result in an uncomplicated pregnancy. In such cases careful monitoring of the patient's fluid balance and liver enzymes, as well as monitoring for pre-eclampsia and oligohydramnios during pregnancy are essential.
我们报告一例患有既往尿崩症(DI)的女性病例,该患者连续两次怀孕且过程顺利。两次怀孕均为自然受孕,孕期经过相似且平稳。受孕时患者正在接受去氨加压素(DDAVP)治疗,剂量为30微克/天,尿量维持在2 - 3升/天。既往存在的尿崩症可以谨慎处理并实现顺利妊娠。在这种情况下,仔细监测患者的液体平衡和肝酶,以及孕期监测先兆子痫和羊水过少至关重要。