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[以临床病例为例探讨中枢性尿崩症患者的诊断与治疗策略]

[Diagnosis and tactics of managing a patient with central diabetes insipidus on the example of a clinical case].

作者信息

Katamadze N N, Pigarova E A, Dzeranova L K

机构信息

Endocrinology Research Centre.

出版信息

Probl Endokrinol (Mosk). 2022 Jul 20;68(5):39-44. doi: 10.14341/probl13103.

Abstract

Diagnosis and differential diagnosis of patients with diabetes insipidus is often a difficult task for the endocrinologist. This case report focuses on a patient with a long history of central idiopathic diabetes insipidus who had a substantial decrease in desmopressin requirements during the last year of follow-up. Conducting tests with osmotic stimulation (test with water deprivation, infusion test with hypertonic solution) made it possible to answer the question of the persistence of the disease, as well as to determine a further management plan, taking into account the physiological characteristics of our patient.

摘要

对内分泌科医生来说,尿崩症患者的诊断和鉴别诊断往往是一项艰巨的任务。本病例报告聚焦于一名患有中枢性特发性尿崩症病史较长的患者,其在随访的最后一年中去氨加压素需求量大幅下降。通过渗透刺激试验(禁水试验、高渗溶液输注试验)得以回答疾病是否持续存在的问题,并根据我们患者的生理特征确定进一步的管理计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8636/9762447/05d31f993b6f/problendo-68-13103-g001.jpg

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