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亚热带气候下前交通动脉瘤术后垂体性尿崩症的管理

Managing adipsic diabetes insipidus following anterior communicating artery aneurysm in a subtropical climate.

作者信息

Nolan Brendan, Inder Warrick J

机构信息

Department of Diabetes and Endocrinology Princess Alexandra Hospital Woolloongabba Qld 4102 Australia.

Department of Diabetes and Endocrinology Princess Alexandra Hospital Woolloongabba Qld 4102 Australia; School of Medicine The University of Queensland Brisbane Qld Australia.

出版信息

Clin Case Rep. 2016 Jun 1;4(7):664-7. doi: 10.1002/ccr3.590. eCollection 2016 Jul.

DOI:10.1002/ccr3.590
PMID:27386124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4929801/
Abstract

Diabetes insipidus without perception of thirst, as may follow an anterior communicating artery aneurysm, requires prescription of fluid intake as well as desmopressin. The management goal of maintaining a normal serum sodium is rendered more challenging in a humid subtropical environment, where insensible losses are higher.

摘要

如前交通动脉瘤后可能出现的无渴感尿崩症，需要规定液体摄入量并使用去氨加压素。在不显性失水较高的湿润亚热带环境中，维持正常血清钠水平的管理目标更具挑战性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b1e/4929801/677c9c8a29a0/CCR3-4-664-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b1e/4929801/677c9c8a29a0/CCR3-4-664-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b1e/4929801/677c9c8a29a0/CCR3-4-664-g001.jpg

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本文引用的文献

1
Abnormal plasma sodium concentrations in patients treated with desmopressin for cranial diabetes insipidus: results of a long-term retrospective study.接受去氨加压素治疗的颅咽管瘤性尿崩症患者的血浆钠离子浓度异常：一项长期回顾性研究的结果。
Eur J Endocrinol. 2015 Mar;172(3):243-50. doi: 10.1530/EJE-14-0719. Epub 2014 Nov 27.
2
Adipsia increases risk of death in patients with central diabetes insipidus.烦渴缺失会增加中枢性尿崩症患者的死亡风险。
Endocr J. 2014;61(2):143-8. doi: 10.1507/endocrj.ej13-0368. Epub 2013 Nov 9.
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Diabetes insipidus with deficient thirst: report of a patient and review of the literature.
伴口渴缺失的尿崩症：1例患者报告及文献复习
Am J Kidney Dis. 2008 May;51(5):851-9. doi: 10.1053/j.ajkd.2007.11.028. Epub 2008 Mar 3.
4
Clinical insights into adipsic diabetes insipidus: a large case series.无渴感型尿崩症的临床见解：一项大型病例系列研究
Clin Endocrinol (Oxf). 2007 Apr;66(4):475-82. doi: 10.1111/j.1365-2265.2007.02754.x.
5
Hypodipsic hypernatremia and diabetes insipidus following anterior communicating artery aneurysm clipping: diagnostic and therapeutic challenges in the amnestic rehabilitation patient.前交通动脉动脉瘤夹闭术后的低渗性高钠血症和尿崩症：遗忘性康复患者的诊断和治疗挑战
Brain Inj. 2001 Nov;15(11):975-80. doi: 10.1080/02699050110063459.
6
Hypothalamic adipsic syndrome: diagnosis and management.下丘脑性无渴综合征：诊断与管理
Clin Endocrinol (Oxf). 1997 Oct;47(4):405-9. doi: 10.1046/j.1365-2265.1997.2591079.x.
7
Management of adipsia by a behavioural modification technique.采用行为矫正技术治疗烦渴症
J Neurol Neurosurg Psychiatry. 1991 Mar;54(3):272-4. doi: 10.1136/jnnp.54.3.272.