Authement J M, Boudrieau R J, Kaplan P M
Department of Medicine, Foster Hospital for Small Animals, School of Veterinary Medicine, North Grafton, MA 01536.
J Am Vet Med Assoc. 1989 Mar 1;194(5):683-5.
A 9-year-old mixed-breed dog was evaluated for dental malocclusion secondary to mandibular fractures that had been repaired after the dog had been hit by a car. The dog had hypernatremia, high plasma osmolality, low urine osmolality, and hyposthenuria with adequate fluid administration. Skull radiography revealed a fracture line at approximately the level of the pituitary fossa. Administration of exogenous vasopressin resulted in an increase in urine specific gravity and urine osmolality, a decrease in serum osmolality, and a normalization of serum sodium concentrations. Follow-up evaluation revealed a reduction in the frequency of exogenous treatment with vasopressin over the ensuing months, indicating transient, traumatically induced, central diabetes insipidus.
一只9岁的混种犬因下颌骨骨折继发牙列不齐而接受评估,该犬在被汽车撞击后下颌骨骨折已得到修复。给予充足液体治疗后,该犬出现高钠血症、高血浆渗透压、低尿渗透压和低比重尿。颅骨X线摄影显示在垂体窝水平附近有一条骨折线。给予外源性血管加压素后,尿比重和尿渗透压升高,血清渗透压降低,血清钠浓度恢复正常。随访评估显示,在随后的几个月里,血管加压素的外源性治疗频率降低,表明为短暂性、创伤性诱发的中枢性尿崩症。